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1992158281
BROOKE BANKS CARROLL
JACKSON, MS
NPI
1992158281
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901558)
Enumeration Date
2016-07-21
Last Update Date
2021-02-02
Business Address
BROOKE BANKS CARROLL NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2869
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Mailing Address
BROOKE BANKS CARROLL NP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-2869
Copy
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