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1487162319
MARY MELVIN SMITH
CANTON, MS
NPI
1487162319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS 901700)
Enumeration Date
2018-01-12
Last Update Date
2018-04-10
Business Address
Mrs. MARY MELVIN SMITH NP
107 CANNON RUN
CANTON, MS 39046-8033
Phone number: 601-624-6272
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Mailing Address
Mrs. MARY MELVIN SMITH NP
2500 N STATE ST JMM SUITE 2525
JACKSON, MS 39216-4500
Phone number: 601-815-9528
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