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1215996004
DIANNE RUSCOE
GREENWOOD, MS
NPI
1215996004
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS RN93020)
Enumeration Date
2006-03-21
Last Update Date
2008-03-29
Business Address
Mrs. DIANNE RUSCOE NP
1405 STRONG AVE
GREENWOOD, MS 38930-4035
Phone number: 662-459-7030
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Mailing Address
Mrs. DIANNE RUSCOE NP
PO BOX 1410 ATTN: CLINIC ADMINISTRATION
GREENWOOD, MS 38935-1410
Phone number: 662-459-7189
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