GRANT KEITH LOFTON

JACKSON, MS
NPI1932132917
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner Primary Care
(Licence: MS  R587052)
Enumeration Date2006-07-10
Last Update Date2007-07-08
Business Address
GRANT KEITH LOFTON CFNP
1500 E WOODROW WILSON AVE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
Mailing Address
GRANT KEITH LOFTON CFNP
709 CHARLIE DIXON RD
BRAXTON, MS 39044-9315
Phone number: 601-362-4471
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