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1407887045
JEREMY S. LAWRENCE
OXFORD, MS
NPI
1407887045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R859361)
Enumeration Date
2006-07-05
Last Update Date
2007-07-08
Business Address
JEREMY S. LAWRENCE CRNA
499 AZALEA DR
OXFORD, MS 38655-7901
Phone number: 662-234-7979
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Mailing Address
JEREMY S. LAWRENCE CRNA
P.O. BOX 3488, DEPT. 05-003
TUPELO, MS 38803
Phone number: 334-386-2053
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