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1043980691
MICAH KENNEDY CRAFT
MCCOMB, MS
NPI
1043980691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904879)
Enumeration Date
2021-09-15
Last Update Date
2021-09-15
Business Address
MICAH KENNEDY CRAFT FNP
309 LLEWELLYN AVE
MCCOMB, MS 39648-2703
Phone number: 601-682-7623
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Mailing Address
MICAH KENNEDY CRAFT FNP
309 LLEWELLYN AVE
MCCOMB, MS 39648-2703
Phone number: 601-684-7623
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