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1184075228
JANIE MAE GRANT
JACKSON, MS
NPI
1184075228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R878313)
Enumeration Date
2016-06-30
Last Update Date
2016-06-30
Business Address
-- JANIE MAE GRANT RN
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 769-777-1058
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Mailing Address
-- JANIE MAE GRANT RN
1465 LAKELAND DR
JACKSON, MS 39216-4719
Phone number: 769-777-1058
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