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1316370356
COLEMAN FARR
JACKSON, MS
NPI
1316370356
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R858106)
Enumeration Date
2013-08-13
Last Update Date
2014-12-30
Business Address
-- COLEMAN FARR NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650
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Mailing Address
-- COLEMAN FARR NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5650
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