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1336575315
HOLLY WOOD
PONTOTOC, MS
NPI
1336575315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R861937)
Enumeration Date
2013-09-23
Last Update Date
2013-09-23
Business Address
Mrs. HOLLY WOOD FNP-C
345 HIGHWAY 15 N
PONTOTOC, MS 38863-1105
Phone number: 662-489-7430
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Mailing Address
Mrs. HOLLY WOOD FNP-C
6002 WESTWIND DR
TUPELO, MS 38801-8498
Phone number: 662-574-6138
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