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1568572055
BRENDA L SMOOT
JACKSON, MS
NPI
1568572055
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Former Name
BRENDA L HARRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R856673)
Enumeration Date
2006-08-30
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA L SMOOT FNP
1500 E WOODROW WILSON AVE NONE
JACKSON, MS 39216-5116
Phone number: 601-362-4471
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Mailing Address
Mrs. BRENDA L SMOOT FNP
4150 S SIWELL RD NONE
JACKSON, MS 39212-6209
Phone number: 601-362-4471
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