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1295303675
MAGEN LYNN LEA
HATTIESBURG, MS
NPI
1295303675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904682)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
MAGEN LYNN LEA FNP
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401-7200
Phone number: 601-288-2100
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Mailing Address
MAGEN LYNN LEA FNP
503 GIVENS MULLINS RD
MONTICELLO, MS 39654-9169
Phone number: 601-954-2850
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