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1326768854
DANIELLE DIANE LEWIS
TUPELO, MS
NPI
1326768854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 905531)
Enumeration Date
2022-09-02
Last Update Date
2022-09-22
Business Address
DANIELLE DIANE LEWIS FNP-C
623 W MAIN ST
TUPELO, MS 38804-3759
Phone number: 662-397-7794
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Mailing Address
DANIELLE DIANE LEWIS FNP-C
4174 HIGHWAY 278
SULLIGENT, AL 35586-4525
Phone number: 205-712-5114
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