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1902812324
TINA MARTIN
JACKSON, MS
NPI
1902812324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 325064-22)
Enumeration Date
2006-07-31
Last Update Date
2020-07-20
Business Address
TINA MARTIN N.P.
2500 NORTH STATE STREET
JACKSON, MS 39216
Phone number: 601-984-5500
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Mailing Address
TINA MARTIN N.P.
PO BOX 4528
JACKSON, MS 39296-4528
Phone number: 601-984-5500
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