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1366774622
LISA H HODGE
TUPELO, MS
NPI
1366774622
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R819978)
Enumeration Date
2010-02-10
Last Update Date
2011-03-21
Business Address
-- LISA H HODGE CFNP
4381 S EASON BLVD SUITE 201
TUPELO, MS 38801-6583
Phone number: 662-377-5005
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Mailing Address
-- LISA H HODGE CFNP
4381 S EASON BLVD SUITE 201
TUPELO, MS 38801-6583
Phone number: 662-377-5005
Copy
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