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1184958969
JENNIFER R BOUTWELL
MCCOMB, MS
NPI
1184958969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS R880925)
Enumeration Date
2009-09-25
Last Update Date
2009-09-25
Business Address
Mrs. JENNIFER R BOUTWELL FNP
303 MARION AVE
MCCOMB, MS 39648-2707
Phone number: 601-249-1350
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Mailing Address
Mrs. JENNIFER R BOUTWELL FNP
303 MARION AVE
MCCOMB, MS 39648-2707
Phone number: 601-249-1350
Copy
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