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1295991057
DIANE MORRIS
PRENTISS, MS
NPI
1295991057
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R652067)
Enumeration Date
2008-07-31
Last Update Date
2012-04-13
Business Address
-- DIANE MORRIS CFNP
910 SECOND ST
PRENTISS, MS 39474-9117
Phone number: 601-792-2078
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Mailing Address
-- DIANE MORRIS CFNP
PO BOX 13445
JACKSON, MS 39236-3445
Phone number: 601-832-2450
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