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1821409269
SHANA SHATEKA MANGUM HOLLOMAN
JACKSON, MS
NPI
1821409269
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: MS 916-L)
Enumeration Date
2014-05-19
Last Update Date
2014-07-09
Business Address
SHANA SHATEKA MANGUM HOLLOMAN MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6925
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Mailing Address
SHANA SHATEKA MANGUM HOLLOMAN MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-6925
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