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1083368880
DORIS GLENDA HOLLIDAY
MAGNOLIA, MS
NPI
1083368880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 905158)
Enumeration Date
2022-02-10
Last Update Date
2022-02-19
Business Address
DORIS GLENDA HOLLIDAY
111 MAGNOLIA ST
MAGNOLIA, MS 39652-2825
Phone number: 601-783-2374
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Mailing Address
DORIS GLENDA HOLLIDAY
1177 IRMA DR
MAGNOLIA, MS 39652-9123
Phone number: 601-730-1164
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