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1902650195
JENSEN CIACCI
LAUREL, MS
NPI
1902650195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-04-15
Last Update Date
2024-10-04
Business Address
JENSEN CIACCI PA
1002 JEFFERSON STREET STE 400
LAUREL, MS 39440
Phone number: 601-649-7802
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Mailing Address
JENSEN CIACCI PA
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-425-7550
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