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1124417761
CLINTON WALKER
JACKSON, MS
NPI
1124417761
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS r886071)
Enumeration Date
2015-01-20
Last Update Date
2016-10-13
Business Address
-- CLINTON WALKER
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-815-4778
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Mailing Address
-- CLINTON WALKER
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-815-4778
Copy
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