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1093240046
BENJAMIN CARROLL
JACKSON, MS
NPI
1093240046
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-04-27
Last Update Date
2017-04-27
Business Address
-- BENJAMIN CARROLL
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5705
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Mailing Address
-- BENJAMIN CARROLL
2500 N STATE ST DEPARTMENT OF NEUROSURGERY
JACKSON, MS 39216-4500
Phone number: 601-984-5705
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