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1063840148
SARA BURWELL
JACKSON, MS
NPI
1063840148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R878011)
Enumeration Date
2013-10-28
Last Update Date
2017-09-08
Business Address
-- SARA BURWELL
764 LAKELAND DR
JACKSON, MS 39216-4651
Phone number: 601-984-5160
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Mailing Address
-- SARA BURWELL
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5160
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