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FAMILY MEDICAL CLINIC OF CRYSTAL SPRINGS, PLLC James W. Ervin, Jr., M.D.104 W. Railroad Avenue South Crystal Springs, MS 39059 Phone: (601) 8923063 Fax: (888) 9270375MEDICAL HISTORY FORM Name: (First)___

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Jennifer M. Sojourner, CFNP, is a certified family nurse practitioner who provides healthcare services and manages patient care.

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