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1437645017
KENDRIA SHORT
JACKSON, MS
NPI
1437645017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902256)
Enumeration Date
2018-07-06
Last Update Date
2018-07-06
Business Address
KENDRIA SHORT
2219 GREENWAY DR
JACKSON, MS 39204-3202
Phone number: 601-983-7494
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Mailing Address
KENDRIA SHORT
2219 GREENWAY DR
JACKSON, MS 39204-3202
Phone number:
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