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1659615557
ZENOTHA LARRY
JACKSON, MS
NPI
1659615557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LW0102X Nurse Practitioner, Women's Health
(Licence: MS R877587)
Enumeration Date
2012-11-15
Last Update Date
2016-05-16
Business Address
Ms. ZENOTHA LARRY NP
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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Mailing Address
Ms. ZENOTHA LARRY NP
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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