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1578748455
MARK J SISTRUNK
JACKSON, MS
NPI
1578748455
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R857282)
Enumeration Date
2008-01-09
Last Update Date
2008-01-09
Business Address
-- MARK J SISTRUNK CRNA
971 LAKELAND DR SUITE 202
JACKSON, MS 39216-4643
Phone number: 601-362-1990
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Mailing Address
-- MARK J SISTRUNK CRNA
971 LAKELAND DR SUITE 202
JACKSON, MS 39216-4643
Phone number: 601-362-1990
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