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1407552128
LANA COOPER
SOUTHAVEN, MS
NPI
1407552128
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 905696)
Enumeration Date
2023-02-03
Last Update Date
2023-06-06
Business Address
LANA COOPER FNP-C
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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Mailing Address
LANA COOPER FNP-C
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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