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1265868145
KASSIA ELLEN MCDANIEL
JACKSON, MS
NPI
1265868145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS R877632)
Enumeration Date
2013-09-23
Last Update Date
2017-02-24
Business Address
-- KASSIA ELLEN MCDANIEL ACNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1470
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Mailing Address
-- KASSIA ELLEN MCDANIEL ACNP-BC
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1470
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