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1376951921
JENNIFER RUSSUM
CLINTON, MS
NPI
1376951921
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R880745)
Enumeration Date
2014-07-28
Last Update Date
2020-09-10
Business Address
JENNIFER RUSSUM
732 CLINTON PKWY
CLINTON, MS 39056-5227
Phone number: 601-924-7994
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Mailing Address
JENNIFER RUSSUM
732 CLINTON PKWY
CLINTON, MS 39056-5227
Phone number: 601-924-7994
Copy
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