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1144695669
KERRIE SANDERS- SMITH
VICKSBURG, MS
NPI
1144695669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 875209)
Enumeration Date
2015-12-09
Last Update Date
2017-11-03
Business Address
KERRIE SANDERS- SMITH
4077 PEMBERTON SQUARE BLVD
VICKSBURG, MS 39180-5580
Phone number: 601-638-8600
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Mailing Address
KERRIE SANDERS- SMITH
140 ALFRED DR
VICKSBURG, MS 39180-9102
Phone number:
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