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1932639887
CLINTON EASOM
JACKSON, MS
NPI
1932639887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902085)
Enumeration Date
2017-06-14
Last Update Date
2017-06-14
Business Address
CLINTON EASOM
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1700
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Mailing Address
CLINTON EASOM
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number:
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