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1144978982
LIBBY DOVE CARRUTH
PONTOTOC, MS
NPI
1144978982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS 904762)
Enumeration Date
2022-03-11
Last Update Date
2024-03-29
Business Address
LIBBY DOVE CARRUTH APRN
353 HIGHWAY 15 N
PONTOTOC, MS 38863-1103
Phone number: 662-490-1985
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Mailing Address
LIBBY DOVE CARRUTH APRN
117 S 2ND ST
AUGUSTA, AR 72006-2309
Phone number: 870-347-2534
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