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1336591882
AMANDA MORDECAI
COLUMBUS, MS
NPI
1336591882
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901639)
Enumeration Date
2016-07-08
Last Update Date
2020-03-04
Business Address
AMANDA MORDECAI NP
2520 5TH ST N
COLUMBUS, MS 39705-2008
Phone number: 662-244-2966
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Mailing Address
AMANDA MORDECAI NP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number:
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