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1619424330
KISHINA SHONTRELL SANDERS
RIDGELAND, MS
NPI
1619424330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 901734)
Enumeration Date
2016-09-10
Last Update Date
2016-09-12
Business Address
-- KISHINA SHONTRELL SANDERS FNP-C
768 AVERY BLVD N
RIDGELAND, MS 39157-5219
Phone number: 601-487-6482
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Mailing Address
-- KISHINA SHONTRELL SANDERS FNP-C
1281 WOODDELL DR
JACKSON, MS 39212-4043
Phone number: 601-201-1971
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