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1649938945
NATHAN CHARLES LINGLE
JACKSON, MS
NPI
1649938945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: MS 904952)
Enumeration Date
2021-12-03
Last Update Date
2021-12-03
Business Address
NATHAN CHARLES LINGLE AGACNP-BC
971 LAKELAND DR STE 1052
JACKSON, MS 39216-4609
Phone number: 601-981-9503
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Mailing Address
NATHAN CHARLES LINGLE AGACNP-BC
109 SUSAN LN
BRANDON, MS 39042-3178
Phone number: 601-316-2202
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