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1316196850
JOHNNIE SUSAN COOPER WIJEWARDANE
STARKVILLE, MS
NPI
1316196850
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R852708)
Enumeration Date
2008-09-09
Last Update Date
2012-03-15
Business Address
Dr. JOHNNIE SUSAN COOPER WIJEWARDANE PhD, FNP
1430 CEDAR CREEK LN
STARKVILLE, MS 39759-8488
Phone number: 662-312-1021
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Mailing Address
Dr. JOHNNIE SUSAN COOPER WIJEWARDANE PhD, FNP
1430 CEDAR CREEK LN
STARKVILLE, MS 39759-8488
Phone number: 662-312-1021
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