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1952407579
CLARICE CARROLL
JACKSON, MS
NPI
1952407579
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MS R525359)
Enumeration Date
2006-09-15
Last Update Date
2008-03-03
Business Address
Miss CLARICE CARROLL CNM
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5373
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Mailing Address
Miss CLARICE CARROLL CNM
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5373
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