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1609137868
ELLEN C LEE
JACKSON, MS
NPI
1609137868
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R606804)
Enumeration Date
2012-06-05
Last Update Date
2012-06-12
Business Address
-- ELLEN C LEE
1151 N STATE ST SUITE 511
JACKSON, MS 39202-2407
Phone number: 601-968-0894
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Mailing Address
-- ELLEN C LEE
1151 N STATE ST SUITE 511
JACKSON, MS 39202-2407
Phone number: 601-968-0894
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