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1932576998
MISTY GAINES
JACKSON, MS
NPI
1932576998
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R883198)
Enumeration Date
2015-08-26
Last Update Date
2015-08-26
Business Address
-- MISTY GAINES
971 LAKELAND DR SUITE 657
JACKSON, MS 39216-4643
Phone number: 601-200-5955
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Mailing Address
-- MISTY GAINES
971 LAKELAND DR SUITE 657
JACKSON, MS 39216-4643
Phone number: 601-200-5955
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