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1447561345
SUSAN LEIGH MONTGOMERY
MADISON, MS
NPI
1447561345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R524174)
Enumeration Date
2010-06-24
Last Update Date
2011-02-03
Business Address
-- SUSAN LEIGH MONTGOMERY FNP
122 WEISENBERGER ROAD
MADISON, MS 39110-8561
Phone number: 601-790-9080
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Mailing Address
-- SUSAN LEIGH MONTGOMERY FNP
122 WEISENBERGER ROAD
MADISON, MS 39110-8561
Phone number: 601-790-9080
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