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1225397961
JORDAN BLAKE CARMEAN
JACKSON, MS
NPI
1225397961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MS R890584)
Enumeration Date
2012-05-15
Last Update Date
2012-05-15
Business Address
MR. JORDAN BLAKE CARMEAN ACNP
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone number: 601-981-9503
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Mailing Address
MR. JORDAN BLAKE CARMEAN ACNP
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone number: 601-981-9503
Copy
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