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1336767748
ZACKERY JOHNSON
HATTIESBURG, MS
NPI
1336767748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS JOHN-5CVAJZ)
Enumeration Date
2020-07-12
Last Update Date
2020-07-12
Business Address
ZACKERY JOHNSON
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401-7200
Phone number: 601-288-4242
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Mailing Address
ZACKERY JOHNSON
986 HIGHWAY 48 E
TYLERTOWN, MS 39667-7115
Phone number:
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