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1104452887
VINCENT LEE SPINOSA-PARKER
SOUTHAVEN, MS
NPI
1104452887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903858)
Enumeration Date
2020-03-13
Last Update Date
2021-07-09
Business Address
VINCENT LEE SPINOSA-PARKER NP-C
5056 MAIDEN LANE CV
SOUTHAVEN, MS 38672-6000
Phone number: 901-907-9901
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Mailing Address
VINCENT LEE SPINOSA-PARKER NP-C
2670 MCINGVALE RD STE H
HERNANDO, MS 38632-8695
Phone number: 901-907-9901
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