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1508827205
REBECCA B CLANTON
JACKSON, MS
NPI
1508827205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R859995)
Enumeration Date
2006-03-31
Last Update Date
2008-09-16
Business Address
-- REBECCA B CLANTON N.P.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-1558
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Mailing Address
-- REBECCA B CLANTON N.P.
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-364-1558
Copy
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