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1740742329
JACKSONBRACEY HEALTH CARE
PEARL, MS
NPI
1740742329
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Entity Type
Organization
Authorized Contact
KRISTEN LILES
Office Staff
601-937-5415
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2019-04-03
Last Update Date
2019-04-03
Business Address
JACKSONBRACEY HEALTH CARE
4490 US-80
PEARL, MS 39208
Phone number: 601-383-1977
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Mailing Address
JACKSONBRACEY HEALTH CARE
4490 HIGHWAY 80 E
PEARL, MS 39208-4213
Phone number:
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