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1043249295
CHANDRA ANITA BOSTON
JACKSON, MS
NPI
1043249295
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R772275)
Enumeration Date
2006-07-01
Last Update Date
2016-02-05
Business Address
Ms. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-815-4128
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Mailing Address
Ms. CHANDRA ANITA BOSTON C.F.P.M.H.N.P.
PO BOX 157A
WHITFIELD, MS 39193-0157
Phone number: 601-351-8000
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