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1407430390
CATINA FULLER
JACKSON, MS
NPI
1407430390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: MS 901240)
Enumeration Date
2021-05-07
Last Update Date
2021-05-07
Business Address
Mrs. CATINA FULLER
1935 LAKELAND DR STE 900
JACKSON, MS 39216-5028
Phone number: 601-718-2468
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Mailing Address
Mrs. CATINA FULLER
1935 LAKELAND DR STE 900
JACKSON, MS 39216-5028
Phone number: 601-718-2468
Copy
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