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1174101992
JORDAN COLBERT WATTS
JACKSON, MS
NPI
1174101992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-01
Last Update Date
2021-04-01
Business Address
JORDAN COLBERT WATTS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-8489
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Mailing Address
JORDAN COLBERT WATTS
240 GREENFIELD RIDGE DR
BRANDON, MS 39042-7020
Phone number:
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