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1972696516
LISA THOMPSON JACKSON
JACKSON, MS
NPI
1972696516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R545228)
Enumeration Date
2006-10-02
Last Update Date
2011-01-03
Business Address
-- LISA THOMPSON JACKSON crna
1500 E. WOODROW WILSON
JACKSON, MS 39216
Phone number: 601-362-4471
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Mailing Address
-- LISA THOMPSON JACKSON crna
503 GLEN GLADE
BRANDON, MS 39047
Phone number: 601-919-8719
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