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1205931235
VALERIE LOGAN HANEY
JACKSON, MS
NPI
1205931235
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2002017069)
Enumeration Date
2006-09-14
Last Update Date
2007-07-08
Business Address
MS. VALERIE LOGAN HANEY FNP
1500 E WOODROW WILSON AVE G. V. SONNY MONTGOMERY VA
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
MS. VALERIE LOGAN HANEY FNP
2951 BIENVILLE DR
JACKSON, MS 39212-2539
Phone number: 601-346-1083
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