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1538631700
KELLY DENISE GRACE
SENATOBIA, MS
NPI
1538631700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS 903082)
Enumeration Date
2018-12-27
Last Update Date
2022-11-13
Business Address
KELLY DENISE GRACE FNP-C
105A QUALITY LN
SENATOBIA, MS 38668-2317
Phone number: 662-298-2144
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Mailing Address
KELLY DENISE GRACE FNP-C
3543 OLD CRENSHAW RD
CRENSHAW, MS 38621-5509
Phone number: 662-701-8063
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