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1780021543
ROMA BRYAN PETERS
JACKSON, MS
NPI
1780021543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R858105)
Enumeration Date
2013-06-03
Last Update Date
2015-03-09
Business Address
-- ROMA BRYAN PETERS FNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5678
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Mailing Address
-- ROMA BRYAN PETERS FNP
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5678
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