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1891736260
ELMINA JOHNSON
JACKSON, MS
NPI
1891736260
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R133690)
Enumeration Date
2006-06-09
Last Update Date
2007-07-09
Business Address
ELMINA JOHNSON
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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Mailing Address
ELMINA JOHNSON
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
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