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1023389210
SALLY M PROFFITT
BROOKHAVEN, MS
NPI
1023389210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R878145)
Enumeration Date
2012-01-19
Last Update Date
2017-11-16
Business Address
SALLY M PROFFITT FNP-C
1024 D A BIGLANE DR
BROOKHAVEN, MS 39601-2331
Phone number: 601-823-8000
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Mailing Address
SALLY M PROFFITT FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-815-1196
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