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1093457988
KAITLIN GRANBERRY
HATTIESBURG, MS
NPI
1093457988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 905268)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
KAITLIN GRANBERRY CPNP-PC
102 MEDICAL PARK
HATTIESBURG, MS 39401-9080
Phone number: 601-261-5159
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Mailing Address
KAITLIN GRANBERRY CPNP-PC
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-5159
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