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1467050419
VENTASHA S PARKER
PEARL, MS
NPI
1467050419
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 904217)
Enumeration Date
2020-10-13
Last Update Date
2021-12-10
Business Address
Mrs. VENTASHA S PARKER
4635 HIGHWAY 80 E
PEARL, MS 39208-4226
Phone number: 601-936-3833
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Mailing Address
Mrs. VENTASHA S PARKER
4635 HIGHWAY 80 E
PEARL, MS 39208-4226
Phone number: 601-936-3833
Copy
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