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1124411004
SUNJA TATE
MCCOMB, MS
NPI
1124411004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R878941)
Enumeration Date
2015-03-16
Last Update Date
2015-08-09
Business Address
-- SUNJA TATE NP-C
300 RAWLS DRIVE SUITE 100
MCCOMB, MS 39649-2877
Phone number: 601-684-7623
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Mailing Address
-- SUNJA TATE NP-C
300 RAWLS DR SUITE 100
MCCOMB, MS 39648-2877
Phone number: 601-684-7623
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