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1245831551
LISA ROBERTS
TUPELO, MS
NPI
1245831551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS 891127)
Enumeration Date
2020-11-03
Last Update Date
2020-11-03
Business Address
LISA ROBERTS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
LISA ROBERTS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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