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1235783127
ELAINA PONDER
AMORY, MS
NPI
1235783127
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902890)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
ELAINA PONDER FNP-C
1506 U.S. 278 SUITE A
AMORY, MS 38821
Phone number: 662-305-9149
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Mailing Address
ELAINA PONDER FNP-C
50018 SIMS LN
AMORY, MS 38821-8859
Phone number: 662-315-5612
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