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1144789801
LAURA LAVEE BURRIS
VICKSBURG, MS
NPI
1144789801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MS PA00416)
Enumeration Date
2019-03-12
Last Update Date
2020-09-11
Business Address
Miss LAURA LAVEE BURRIS PA-C
2100 HIGHWAY 61 N
VICKSBURG, MS 39183-8211
Phone number: 601-883-5000
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Mailing Address
Miss LAURA LAVEE BURRIS PA-C
3975 I 55 N APT H4
JACKSON, MS 39216-3710
Phone number: 662-292-0728
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