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1437621323
QUEENEICE BOYETTE GANISON
GREENVILLE, MS
NPI
1437621323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 902219)
Enumeration Date
2018-12-18
Last Update Date
2018-12-18
Business Address
Ms. QUEENEICE BOYETTE GANISON FNP-BC
205 S DELTA ST
GREENVILLE, MS 38703-4420
Phone number: 662-822-3150
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Mailing Address
Ms. QUEENEICE BOYETTE GANISON FNP-BC
2492 MOURNING DOVE ST
GREENVILLE, MS 38701-8121
Phone number: 662-822-3150
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