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1073055695
KAYLON LEWIS
HATTIESBURG, MS
NPI
1073055695
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 901809)
Enumeration Date
2016-11-14
Last Update Date
2016-11-21
Business Address
-- KAYLON LEWIS CNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-268-5620
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Mailing Address
-- KAYLON LEWIS CNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-268-5620
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