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1073285573
MALLORY ODOM JORDAN
BAY SPRINGS, MS
NPI
1073285573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS 904891)
Enumeration Date
2021-10-02
Last Update Date
2021-10-02
Business Address
MALLORY ODOM JORDAN FNP
27 S SIXTH ST
BAY SPRINGS, MS 39422-9052
Phone number: 601-764-2155
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Mailing Address
MALLORY ODOM JORDAN FNP
27 S SIXTH ST
BAY SPRINGS, MS 39422-9052
Phone number:
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