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1861591067
CAROL LEE SMITH
JACKSON, MS
NPI
1861591067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-021304)
Enumeration Date
2006-09-22
Last Update Date
2022-07-21
Business Address
Ms. CAROL LEE SMITH msn crnp
1500 WOODROW WILSON
JACKSON, MS 39216-5199
Phone number: 800-949-1009
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Mailing Address
Ms. CAROL LEE SMITH msn crnp
153 VINEYARD BLVD
BRANDON, MS 39047
Phone number: 601-291-9882
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