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1730161779
MARK C. BURRELL
JACKSON, MS
NPI
1730161779
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R853573)
Enumeration Date
2005-11-16
Last Update Date
2009-08-13
Business Address
Mr. MARK C. BURRELL CRNA
1850 CHADWICK DR
JACKSON, MS 39204-3404
Phone number: 601-376-1848
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Mailing Address
Mr. MARK C. BURRELL CRNA
PO BOX 7539
JACKSON, MS 39284-7539
Phone number: 601-376-1848
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