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1164446969
JEFFERSON D PARKER
JACKSON, MS
NPI
1164446969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103T00000X Psychologist
(Licence: MS 33 527)
Enumeration Date
2006-07-26
Last Update Date
2016-10-12
Business Address
DR. JEFFERSON D PARKER PH.D.
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-984-5815
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Mailing Address
DR. JEFFERSON D PARKER PH.D.
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-984-5815
Copy
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