DIOSAN M POWELL

SOUTHAVEN, MS
NPI1275086902
Former NameDIOSAN MANGUBAT AGAGDAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: TN  21474)
Enumeration Date2016-07-29
Last Update Date2026-04-16
Business Address
Mrs. DIOSAN M POWELL FNP
346 STATELINE RD W
SOUTHAVEN, MS 38671-1610
Phone number: 662-510-5353
Mailing Address
Mrs. DIOSAN M POWELL FNP
346 STATELINE RD W
SOUTHAVEN, MS 38671-1610
Phone number: 662-510-5353
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