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1639279920
MAYBELLE F. JACKSON
JACKSON, MS
NPI
1639279920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS r672947)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
-- MAYBELLE F. JACKSON NP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
-- MAYBELLE F. JACKSON NP
45 SARAGOSSA RD
NATCHEZ, MS 39120-8663
Phone number: 601-445-9942
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