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1184086282
LAUREN BOTELER ELLIOTT
JACKSON, MS
NPI
1184086282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS 901482)
Enumeration Date
2016-03-28
Last Update Date
2016-06-23
Business Address
-- LAUREN BOTELER ELLIOTT N.P.
2500 N STATE ST CHILD DEVELOPMENT CENTER
JACKSON, MS 39216-4500
Phone number: 601-984-2955
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Mailing Address
-- LAUREN BOTELER ELLIOTT N.P.
2500 N STATE ST CHILD DEVELOPMENT CENTER
JACKSON, MS 39216-4500
Phone number:
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