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1255563771
LISA MICHELLE GANT
MERIDIAN, MS
NPI
1255563771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R827388)
Enumeration Date
2009-08-17
Last Update Date
2024-09-10
Business Address
Mrs. LISA MICHELLE GANT FNP
1521 A 22ND AVENUE
MERIDIAN, MS 39301
Phone number: 601-703-8360
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Mailing Address
Mrs. LISA MICHELLE GANT FNP
1710 14TH ST
MERIDIAN, MS 39301-4140
Phone number: 601-703-1485
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