ANGIE S HARAWAY

JACKSON, MS
NPI1790876928
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R862590)
Enumeration Date2006-09-26
Last Update Date2016-05-05
Business Address
-- ANGIE S HARAWAY NP-C
971 LAKELAND DR SUITE 657
JACKSON, MS 39216-4643
Phone number: 601-200-5955
Mailing Address
-- ANGIE S HARAWAY NP-C
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4749
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