CODI HALLMARK

TUPELO, MS
NPI1619305687
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R892795)
Enumeration Date2013-10-29
Last Update Date2013-10-29
Business Address
-- CODI HALLMARK
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-2539
Mailing Address
-- CODI HALLMARK
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-2539
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