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1255752812
MARK FISHER
JACKSON, MS
NPI
1255752812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R875606)
Enumeration Date
2013-12-30
Last Update Date
2015-01-15
Business Address
-- MARK FISHER CRNA
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-376-1848
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Mailing Address
-- MARK FISHER CRNA
PO BOX 7539
JACKSON, MS 39284-7539
Phone number: 601-376-1848
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