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1306305487
LOLITA DENISE HARTLEY
JACKSON, MS
NPI
1306305487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902992)
Enumeration Date
2019-03-18
Last Update Date
2020-10-21
Business Address
LOLITA DENISE HARTLEY Nurse Practitioner
1828 HOSPITAL DR
JACKSON, MS 39204-3410
Phone number: 601-487-8594
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Mailing Address
LOLITA DENISE HARTLEY Nurse Practitioner
1445 CHERRY GROVE RD
CRYSTAL SPRINGS, MS 39059-8749
Phone number: 601-316-1474
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