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1679103337
AMEENA BANU
JACKSON, MS
NPI
1679103337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MS PA00461)
Enumeration Date
2020-01-22
Last Update Date
2020-01-22
Business Address
AMEENA BANU PA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
AMEENA BANU PA
2500 NORTH STATE STREET CBO-SUITE 4200
JACKSON, MS 39216-4500
Phone number: 601-496-9794
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