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1730511064
JOSEPH SHANNON DAVIS
JACKSON, MS
NPI
1730511064
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R877128)
Enumeration Date
2013-08-09
Last Update Date
2013-08-09
Business Address
-- JOSEPH SHANNON DAVIS CRNA
1600 N STATE ST SUITE 400
JACKSON, MS 39202-1689
Phone number: 601-944-1717
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Mailing Address
-- JOSEPH SHANNON DAVIS CRNA
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1000
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