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1154342491
CHRISTINE ROSE LIBERTO
JACKSON, MS
NPI
1154342491
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS R730222)
Enumeration Date
2006-07-22
Last Update Date
2007-07-08
Business Address
-- CHRISTINE ROSE LIBERTO
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-1542
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Mailing Address
-- CHRISTINE ROSE LIBERTO
770 LAKELAND DR #120
JACKSON, MS 39216-4652
Phone number:
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