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1508249830
CACHE LONGMIRE
JACKSON, MS
NPI
1508249830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R898496)
Enumeration Date
2015-07-06
Last Update Date
2021-05-12
Business Address
CACHE LONGMIRE FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2005
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Mailing Address
CACHE LONGMIRE FNP-C
504 CLINTON CENTER DRIVE CBO - SUITE 4300
CLINTON, MS 39056
Phone number: 601-496-9794
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