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1811912736
LISA GERALDINE LANGLEY
JACKSON, MS
NPI
1811912736
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R629405)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
MRS. LISA GERALDINE LANGLEY NP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
MRS. LISA GERALDINE LANGLEY NP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Copy
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