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1134460736
EDITH MOODY FAULKNER
STARKVILLE, MS
NPI
1134460736
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Former Name
EDITH W MINYARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R865568)
Enumeration Date
2013-03-06
Last Update Date
2024-03-12
Business Address
Mrs. EDITH MOODY FAULKNER FNP-C
1205 HIGHWAY 182 W STE B
STARKVILLE, MS 39759-9820
Phone number: 662-377-5199
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Mailing Address
Mrs. EDITH MOODY FAULKNER FNP-C
808 VARSITY DR
TUPELO, MS 38801-4613
Phone number: 662-377-3204
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