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1538430087
SHENETTA GOLDMAN
JACKSON, MS
NPI
1538430087
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R864623)
Enumeration Date
2012-01-14
Last Update Date
2013-08-12
Business Address
Ms. SHENETTA GOLDMAN F.N.P
3502 W NORTHSIDE DRIVE
JACKSON, MS 39213-3467
Phone number: 601-364-5130
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Mailing Address
Ms. SHENETTA GOLDMAN F.N.P
3502 W NORTHSIDE DRIVE
JACKSON, MS 39213-2617
Phone number: 601-364-5130
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