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1497382121
ANNA LAURA CLARK SCROGGINS
YAZOO CITY, MS
NPI
1497382121
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903555)
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
ANNA LAURA CLARK SCROGGINS
321 E FIFTEENTH ST
YAZOO CITY, MS 39194-2631
Phone number: 662-532-1543
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Mailing Address
ANNA LAURA CLARK SCROGGINS
321 E FIFTEENTH ST
YAZOO CITY, MS 39194-2631
Phone number: 662-571-0035
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