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1710472758
RAGEN LAYNE SMITH
JACKSON, MS
NPI
1710472758
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902627)
Enumeration Date
2018-06-22
Last Update Date
2018-10-08
Business Address
Mrs. RAGEN LAYNE SMITH FNP-C
1860 CHADWICK DR STE 258
JACKSON, MS 39204-3486
Phone number: 601-376-2004
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Mailing Address
Mrs. RAGEN LAYNE SMITH FNP-C
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-4880
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