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1285848077
MATTIE ANN RILEY
MERIDIAN, MS
NPI
1285848077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P118958)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
MS. MATTIE ANN RILEY LPN
6351 BROWN HOOKE RD
MERIDIAN, MS 39305-8994
Phone number: 601-737-5121
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Mailing Address
MS. MATTIE ANN RILEY LPN
5322 CHANDLER RD
MERIDIAN, MS 39305-9750
Phone number: 601-483-0046
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