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1336635812
KECIA LASONIA PALMER
RIDGELAND, MS
NPI
1336635812
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MS 902423)
Enumeration Date
2018-07-08
Last Update Date
2018-07-08
Business Address
KECIA LASONIA PALMER Nurse Practitioner
768 AVERY BLVD N
RIDGELAND, MS 39157-5219
Phone number: 601-487-6482
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Mailing Address
KECIA LASONIA PALMER Nurse Practitioner
1908 COLONY PARK DR
PEARL, MS 39208-6372
Phone number: 769-572-2646
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