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1083012132
CENEDRA DIONNE LEE
JACKSON, MS
NPI
1083012132
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R885414)
Enumeration Date
2014-12-05
Last Update Date
2015-12-17
Business Address
-- CENEDRA DIONNE LEE NP
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-815-4128
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Mailing Address
-- CENEDRA DIONNE LEE NP
2500 NORTH STATE STREET JMM ROOM 2525
JACKSON, MS 39216-4500
Phone number: 601-815-4128
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