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1942089917
RIKKI SUZANNE BROOM
SUMRALL, MS
NPI
1942089917
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 906303)
Enumeration Date
2023-09-27
Last Update Date
2024-07-01
Business Address
RIKKI SUZANNE BROOM PNP
4881 HWY 589
SUMRALL, MS 39482-3948
Phone number: 601-336-9099
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Mailing Address
RIKKI SUZANNE BROOM PNP
PO BOX 566
SUMRALL, MS 39482-0566
Phone number: 601-336-9099
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