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1710256037
FANIKA SHUNTAE HERBERT
JACKSON, MS
NPI
1710256037
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Former Name
FANIKA SHUNTAE ADAMS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WM0705X Registered Nurse Medical-Surgical
(Licence: MS R882847)
Enumeration Date
2011-12-14
Last Update Date
2011-12-14
Business Address
MRS. FANIKA SHUNTAE HERBERT
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
MRS. FANIKA SHUNTAE HERBERT
101 HOLMAN ST
CRYSTAL SPRINGS, MS 39059-2582
Phone number: 601-201-1130
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