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1639418486
JAMES M CLARK
JACKSON, MS
NPI
1639418486
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R854948)
Enumeration Date
2013-02-13
Last Update Date
2018-07-30
Business Address
-- JAMES M CLARK CFNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6525
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Mailing Address
-- JAMES M CLARK CFNP
PO BOX 4402
BRANDON, MS 39047-4402
Phone number: 601-992-9898
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