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1760764690
LORA MICHELLE MARTIN
JACKSON, MS
NPI
1760764690
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R877871)
Enumeration Date
2011-09-16
Last Update Date
2016-11-29
Business Address
-- LORA MICHELLE MARTIN FNP-C
2500 NORTH STATE STREET
JACKSON, MS 39216-4500
Phone number: 601-984-4252
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Mailing Address
-- LORA MICHELLE MARTIN FNP-C
2500 NORTH STATE STREET JMM ROOM 2525
JACKSON, MS 39216-4500
Phone number: 601-984-6426
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