CARMEN R RAINES

TUPELO, MS
NPI1104241686
Former NameCARMEN R MCDIVITT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  R829034)
Enumeration Date2014-02-20
Last Update Date2014-07-10
Business Address
CARMEN R RAINES FNP-C
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6749
Phone number: 662-840-2131
Mailing Address
CARMEN R RAINES FNP-C
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6749
Phone number: 662-840-2131
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