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1164934659
AMANDA GAIL HODGES
JACKSON, MS
NPI
1164934659
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS 902340)
Enumeration Date
2017-10-24
Last Update Date
2018-01-10
Business Address
Mrs. AMANDA GAIL HODGES CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5050
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Mailing Address
Mrs. AMANDA GAIL HODGES CPNP-AC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 662-417-8396
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