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1912585357
NELSON PARKS DOUGLASS
JACKSON, MS
NPI
1912585357
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-29
Last Update Date
2021-03-29
Business Address
Mr. NELSON PARKS DOUGLASS
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
Mr. NELSON PARKS DOUGLASS
4126 NAVAJO RD
JACKSON, MS 39211-6538
Phone number: 601-201-1715
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