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1831473552
JACKIE CLANTON MCDONALD
JACKSON, MS
NPI
1831473552
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R863322)
Enumeration Date
2011-09-29
Last Update Date
2017-01-25
Business Address
-- JACKIE CLANTON MCDONALD NP-C
971 LAKELAND DR SUITE 750
JACKSON, MS 39216-4643
Phone number: 601-214-3397
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Mailing Address
-- JACKIE CLANTON MCDONALD NP-C
971 LAKELAND DR STE 750
JACKSON, MS 39216-4608
Phone number: 601-200-4970
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