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1497068134
SHARON D VICKERS
JACKSON, MS
NPI
1497068134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R867847)
Enumeration Date
2010-07-23
Last Update Date
2018-05-08
Business Address
SHARON D VICKERS CFNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5160
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Mailing Address
SHARON D VICKERS CFNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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