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1811044613
KENISHA ROCHELLE MARTIN
JACKSON, MS
NPI
1811044613
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 20535)
Enumeration Date
2007-01-04
Last Update Date
2020-07-08
Business Address
KENISHA ROCHELLE MARTIN MD
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-988-5281
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Mailing Address
KENISHA ROCHELLE MARTIN MD
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number:
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