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1629050836
MARY P. JOHNSON
JACKSON, MS
NPI
1629050836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R864870)
Enumeration Date
2005-11-15
Last Update Date
2021-05-14
Business Address
MARY P. JOHNSON CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2005
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Mailing Address
MARY P. JOHNSON CRNA
504 CLINTON CENTER DRIVE CBO - SUITE 4300
CLINTON, MS 39056
Phone number: 601-496-9794
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