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1093722662
SANDRA KINNAN
HATTIESBURG, MS
NPI
1093722662
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R722863)
Enumeration Date
2006-08-03
Last Update Date
2007-07-08
Business Address
Ms. SANDRA KINNAN N.P.
103 S 19TH AVE
HATTIESBURG, MS 39401-6171
Phone number: 601-544-4641
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Mailing Address
Ms. SANDRA KINNAN N.P.
PO BOX 1030
HATTIESBURG, MS 39403-1030
Phone number: 601-544-4641
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