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1306873450
CLARA LYNN GRACE
HATTIESBURG, MS
NPI
1306873450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R634115)
Enumeration Date
2006-06-26
Last Update Date
2007-07-08
Business Address
Ms. CLARA LYNN GRACE FNP
6051 U S HIGHWAY 49
HATTIESBURG, MS 39401-7200
Phone number: 601-288-2690
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Mailing Address
Ms. CLARA LYNN GRACE FNP
PO BOX 16745
HATTIESBURG, MS 39404-6745
Phone number: 601-288-2690
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