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1265921985
NORTH LAUREL FAMILY MEDICINE, LLC
LAUREL, MS
NPI
1265921985
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Entity Type
Organization
Authorized Contact
JENNIFER R MOFFETT
Co Owner And Business Manager
601-765-9777
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2018-05-08
Last Update Date
2019-04-04
Business Address
NORTH LAUREL FAMILY MEDICINE, LLC
3115 AUDUBON DR
LAUREL, MS 39440
Phone number: 601-765-9777
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Mailing Address
NORTH LAUREL FAMILY MEDICINE, LLC
3115 AUDUBON DR
LAUREL, MS 39440-1913
Phone number: 601-531-2200
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