JOHNNIE SUSAN COOPER WIJEWARDANE

STARKVILLE, MS
NPI1316196850
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: MS  R852708)
Enumeration Date2008-09-09
Last Update Date2012-03-15
Business Address
DR. JOHNNIE SUSAN COOPER WIJEWARDANE PHD, FNP
1430 CEDAR CREEK LN
STARKVILLE, MS 39759-8488
Phone number: 662-312-1021
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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