MICHAEL LUCAS BRASEL

JACKSON, MS
NPI1184047904
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MS  pa00197)
Enumeration Date2014-01-30
Last Update Date2014-01-30
Business Address
-- MICHAEL LUCAS BRASEL PA-C
1777 ELLIS AVE
JACKSON, MS 39204-3616
Phone number: 601-371-0400
Mailing Address
-- MICHAEL LUCAS BRASEL PA-C
4092 HIGHWAY 472
HAZLEHURST, MS 39083-9650
Phone number: 601-894-4825
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