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1972935641
JASON J SHANNON
JACKSON, MS
NPI
1972935641
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R872238)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
JASON J SHANNON CRNA
1225 N STATE ST
JACKSON, MS 39202-2064
Phone number: 601-968-1000
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Mailing Address
JASON J SHANNON CRNA
1012 AUBURN DR
JACKSON, MS 39211-4226
Phone number: 769-524-4686
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