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1548350440
ANITA BASU
JACKSON, MS
NPI
1548350440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: MS 15950)
Enumeration Date
2006-10-13
Last Update Date
2007-07-08
Business Address
Ms. ANITA BASU md
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Ms. ANITA BASU md
125 CYPRESS LAKE BLVD S
MADISON, MS 39110-7316
Phone number: 601-898-0275
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