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1760067417
JONATHAN DAVID PARKE
JACKSON, MS
NPI
1760067417
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS PA00527)
Enumeration Date
2021-03-15
Last Update Date
2021-03-16
Business Address
JONATHAN DAVID PARKE PA-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5600
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Mailing Address
JONATHAN DAVID PARKE PA-C
708 BELLEVUE ST
CLINTON, MS 39056-3822
Phone number: 769-218-6262
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