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1154501096
LISA J OSWALT- SIMMONS
JACKSON, MS
NPI
1154501096
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Other Name
LISA J OSWALT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 724335)
Enumeration Date
2007-11-08
Last Update Date
2024-01-10
Business Address
LISA J OSWALT- SIMMONS CFNP
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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Mailing Address
LISA J OSWALT- SIMMONS CFNP
PO BOX 3437
JACKSON, MS 39207-3437
Phone number: 601-362-5321
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