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1346621075
LATRENA MONTGOMERY
MADISON, MS
NPI
1346621075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R881572)
Enumeration Date
2015-06-18
Last Update Date
2021-12-06
Business Address
LATRENA MONTGOMERY FNP-C
105 VARESE PL
MADISON, MS 39110
Phone number: 601-622-8182
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Mailing Address
LATRENA MONTGOMERY FNP-C
1668 W PEACE ST
CANTON, MS 39046-5332
Phone number: 601-622-8182
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