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1477123768
KRISTY EZELL
LAUREL, MS
NPI
1477123768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS P316351)
Enumeration Date
2021-06-29
Last Update Date
2021-07-07
Business Address
KRISTY EZELL LPN
934 WEST DR
LAUREL, MS 39440-4702
Phone number: 601-426-7520
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Mailing Address
KRISTY EZELL LPN
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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