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1104241686
CARMEN R RAINES
TUPELO, MS
NPI
1104241686
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Former Name
CARMEN R MCDIVITT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R829034)
Enumeration Date
2014-02-20
Last Update Date
2014-07-10
Business Address
-- CARMEN R RAINES FNP-C
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6749
Phone number: 662-840-2131
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Mailing Address
-- CARMEN R RAINES FNP-C
1265 CLIFF GOOKIN BLVD
TUPELO, MS 38801-6749
Phone number: 662-840-2131
Copy
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