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1992149348
DENETTA ROSS
JACKSON, MS
NPI
1992149348
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R868748)
Enumeration Date
2013-04-28
Last Update Date
2013-12-17
Business Address
-- DENETTA ROSS FNP-C
5429 ROBINSON ROAD EXT
JACKSON, MS 39204-4138
Phone number: 601-914-0163
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Mailing Address
-- DENETTA ROSS FNP-C
5429 ROBINSON ROAD EXT
JACKSON, MS 39204-4138
Phone number:
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