CLINTON EASOM

JACKSON, MS
NPI1932639887
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  902085)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
CLINTON EASOM
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1700
Mailing Address
CLINTON EASOM
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number:
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