LAKEN NICOLE FULCHER

LOUISVILLE, MS
NPI1295378339
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MS  R903535)
Enumeration Date2019-10-22
Last Update Date2019-10-22
Business Address
LAKEN NICOLE FULCHER FNP
16569 W MAIN ST
LOUISVILLE, MS 39339-2647
Phone number: 662-773-5704
Mailing Address
LAKEN NICOLE FULCHER FNP
PO BOX 470
LOUISVILLE, MS 39339-0470
Phone number: 662-446-1972
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