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1710135629
JEFFREY R. MOFFETT
LAUREL, MS
NPI
1710135629
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R872112)
Enumeration Date
2008-09-04
Last Update Date
2019-04-04
Business Address
Mr. JEFFREY R. MOFFETT FNP
3115 AUDUBON DR
LAUREL, MS 39440
Phone number: 601-531-2200
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Mailing Address
Mr. JEFFREY R. MOFFETT FNP
3115 AUDUBON DR
LAUREL, MS 39440-1913
Phone number: 601-531-2200
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