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1972167278
JESSICA CARSON
CANTON, MS
NPI
1972167278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS 903286)
Enumeration Date
2019-04-23
Last Update Date
2019-04-23
Business Address
JESSICA CARSON
1668 W PEACE ST
CANTON, MS 39046-5332
Phone number: 601-859-5213
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Mailing Address
JESSICA CARSON
467 E CENTER ST
CANTON, MS 39046-3830
Phone number: 832-791-9165
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