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1013695097
MILTON LAVELL WOODALL
LAUREL, MS
NPI
1013695097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 906087)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
Mr. MILTON LAVELL WOODALL FNP-C
1706 W 12TH ST
LAUREL, MS 39440-2559
Phone number: 601-369-2028
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Mailing Address
Mr. MILTON LAVELL WOODALL FNP-C
1706 W 12TH ST
LAUREL, MS 39440-2559
Phone number: 601-369-2028
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