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1265995740
SANDRA FERRILL
DIAMONDHEAD, MS
NPI
1265995740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: LA 20120534)
Enumeration Date
2019-04-10
Last Update Date
2019-04-10
Business Address
SANDRA FERRILL LPN
8321 AMOKA DR
DIAMONDHEAD, MS 39525-4060
Phone number: 228-363-3606
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Mailing Address
SANDRA FERRILL LPN
8321 AMOKA DR
DIAMONDHEAD, MS 39525-4060
Phone number:
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