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1407284276
ELLYN BURTON PRUETT
JACKSON, MS
NPI
1407284276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R885026)
Enumeration Date
2013-10-14
Last Update Date
2015-06-18
Business Address
Mrs. ELLYN BURTON PRUETT FNP-C
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4540
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Mailing Address
Mrs. ELLYN BURTON PRUETT FNP-C
2500 N STATE ST DIVISION OF GASTROENTEROLOGY
JACKSON, MS 39216-4500
Phone number: 601-984-4540
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