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1205935301
LINDA RUTH MACK
JACKSON, MS
NPI
1205935301
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R725005)
Enumeration Date
2006-09-22
Last Update Date
2007-07-08
Business Address
Mrs. LINDA RUTH MACK np
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Mrs. LINDA RUTH MACK np
1973 HOUSTON RD
BOLTON, MS 39041-9387
Phone number: 601-362-4461
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