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1700983285
KENNETH TINSLEY
JACKSON, MS
NPI
1700983285
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R858628)
Enumeration Date
2006-09-19
Last Update Date
2015-02-20
Business Address
-- KENNETH TINSLEY NURSE PRACTITIONER
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5571
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Mailing Address
-- KENNETH TINSLEY NURSE PRACTITIONER
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5571
Copy
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