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1700220969
ELIZABETH FOUNTAIN
COLUMBUS, MS
NPI
1700220969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS R879775)
Enumeration Date
2013-04-18
Last Update Date
2017-03-07
Business Address
Ms. ELIZABETH FOUNTAIN ANP-C
600 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-327-7525
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Mailing Address
Ms. ELIZABETH FOUNTAIN ANP-C
600 LEIGH DR
COLUMBUS, MS 39705-3014
Phone number: 662-327-7525
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