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1821092479
ANNE P BERTHOLD
JACKSON, MS
NPI
1821092479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R845073)
Enumeration Date
2005-06-10
Last Update Date
2009-12-02
Business Address
-- ANNE P BERTHOLD F.N.P.
1227 N STATE ST STE 101
JACKSON, MS 39202-2002
Phone number: 601-355-2485
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Mailing Address
-- ANNE P BERTHOLD F.N.P.
1227 N STATE ST STE 101
JACKSON, MS 39202-2002
Phone number: 601-355-2485
Copy
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