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1144785684
UNDRA L HAGGAN
CLARKSDALE, MS
NPI
1144785684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MS 903148)
Enumeration Date
2019-02-08
Last Update Date
2019-06-07
Business Address
UNDRA L HAGGAN Nurse Practitioner
1202 DESOTO AVE
CLARKSDALE, MS 38614-6937
Phone number: 662-202-1297
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Mailing Address
UNDRA L HAGGAN Nurse Practitioner
619 S STATE ST
CLARKSDALE, MS 38614-6319
Phone number: 662-645-4827
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