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1376215178
LAFADRA ANTONETTE MACKLIN
TUPELO, MS
NPI
1376215178
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904666)
Enumeration Date
2021-09-30
Last Update Date
2023-01-02
Business Address
LAFADRA ANTONETTE MACKLIN FNP-BC
830 S GLOSTER ST
TUPELO, MS 38801-4996
Phone number: 662-377-3000
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Mailing Address
LAFADRA ANTONETTE MACKLIN FNP-BC
830 S GLOSTER ST
TUPELO, MS 38801-4996
Phone number: 662-377-3000
Copy
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