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1750800967
SAMMY VAUN JOHNSON
JACKSON, MS
NPI
1750800967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS 902237)
Enumeration Date
2017-09-19
Last Update Date
2017-09-19
Business Address
SAMMY VAUN JOHNSON agacnp
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-9617
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Mailing Address
SAMMY VAUN JOHNSON agacnp
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number:
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