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1235447533
JODIE BROCK MAUCK
COLUMBUS, MS
NPI
1235447533
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R874196)
Enumeration Date
2010-09-20
Last Update Date
2010-09-20
Business Address
Mrs. JODIE BROCK MAUCK CRNA
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-1000
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Mailing Address
Mrs. JODIE BROCK MAUCK CRNA
114 NORTHGATE DR
STARKVILLE, MS 39759-9742
Phone number: 662-694-1105
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