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1144714353
CASSANDRA L KINGSTON
BRANDON, MS
NPI
1144714353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902595)
Enumeration Date
2018-06-20
Last Update Date
2023-02-10
Business Address
CASSANDRA L KINGSTON PMHNP-BC
557 GRANTS FERRY RD
BRANDON, MS 39047-9023
Phone number: 601-665-4162
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Mailing Address
CASSANDRA L KINGSTON PMHNP-BC
557 GRANTS FERRY RD
BRANDON, MS 39047-9023
Phone number: 601-665-4162
Copy
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