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1477010668
AMANDA WILKINS MISSO
STARKVILLE, MS
NPI
1477010668
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 904241)
Enumeration Date
2019-02-25
Last Update Date
2021-05-10
Business Address
AMANDA WILKINS MISSO RN
400 HOSPITAL RD
STARKVILLE, MS 39759-2163
Phone number: 662-615-2842
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Mailing Address
AMANDA WILKINS MISSO RN
1520 POAG RD
MACON, MS 39341-1911
Phone number: 662-574-6809
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