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1518994672
COLLEEN G CANNON
JACKSON, MS
NPI
1518994672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R850953)
Enumeration Date
2006-06-26
Last Update Date
2014-11-18
Business Address
Mrs. COLLEEN G CANNON CFNP
2500 N STATE ST DIVISION OF INFECTIOUS DISEASE
JACKSON, MS 39216-4500
Phone number: 601-984-5560
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Mailing Address
Mrs. COLLEEN G CANNON CFNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5560
Copy
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