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1629583026
LACHASITY KIMMONS
SOUTHAVEN, MS
NPI
1629583026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 23598)
Enumeration Date
2017-12-06
Last Update Date
2018-06-16
Business Address
Mrs. LACHASITY KIMMONS FNP-C
2032 AUDUBON PL
SOUTHAVEN, MS 38672-9440
Phone number: 662-902-0817
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Mailing Address
Mrs. LACHASITY KIMMONS FNP-C
2032 AUDUBON PL
SOUTHAVEN, MS 38672-9440
Phone number:
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