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The Noxubee rises in Choctaw Lake in the Tombigbee National Forest in Choctaw County, Mississippi, and flows generally southeastwardly through Winston, Oktibbeha and Noxubee Counties in Mississippi, and Sumter County in Alabama, through the Noxubee National Wildlife Refuge and past the town of Macon, Mississippi. It joins the Tombigbee River from the west, about 2 mi (3 km) west of Gainesville, Alabama.
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