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Individual

AUSTIN GRANT CONN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DNP

Contact information

Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
642 CONTI DR, BRANDON, MS 39042-6611
(601) 832-8239

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137022
MS

Other

Enumeration date
06/11/2022
Last updated
06/11/2022
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