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1407376254
ELIZABETH MCTAGGART DIMINO
COLUMBUS, MS
NPI
1407376254
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Former Name
ELIZABETH ROSE MCTAGGART
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner Gerontology
(Licence: MS 901954)
Enumeration Date
2017-06-22
Last Update Date
2018-03-17
Business Address
ELIZABETH MCTAGGART DIMINO NP
255 BAPTIST BLVD STE 301
COLUMBUS, MS 39705-2006
Phone number: 662-244-2550
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Mailing Address
ELIZABETH MCTAGGART DIMINO NP
965 RIDGE LAKE BLVD STE 103
MEMPHIS, TN 38120-9446
Phone number:
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