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1710262076
MICHELLE LAVELL MCKENZIE
SUMMIT, MS
NPI
1710262076
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-121734)
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
-- MICHELLE LAVELL MCKENZIE CRNP
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900
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Mailing Address
-- MICHELLE LAVELL MCKENZIE CRNP
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number:
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