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1790444263
PRIME CARE CLINIC OF CLINTON, LLC
CLINTON, MS
NPI
1790444263
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Entity Type
Organization
Authorized Contact
JUSTIN C JACKSON
Member/COO
601-519-7692
Organization Subpart ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date
2021-12-13
Last Update Date
2022-01-25
Business Address
PRIME CARE CLINIC OF CLINTON, LLC
709 CLINTON PKWY
CLINTON, MS 39056-5245
Phone number: 601-259-9532
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Mailing Address
PRIME CARE CLINIC OF CLINTON, LLC
PO BOX 785
CLINTON, MS 39060-0785
Phone number: 601-519-7692
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