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1154420925
ANTONIO GAMBLE
JACKSON, MS
NPI
1154420925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R861375)
Enumeration Date
2006-09-21
Last Update Date
2010-12-30
Business Address
MR. ANTONIO GAMBLE
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5900
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Mailing Address
MR. ANTONIO GAMBLE
243 CATALINA CIRCLE
JACKSON, MS 39204
Phone number: 601-981-6036
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