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1639547425
BRANDI TYNES
LAUREL, MS
NPI
1639547425
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS NP 901423)
Enumeration Date
2015-09-10
Last Update Date
2016-01-21
Business Address
-- BRANDI TYNES
1410 JEFFERSON ST
LAUREL, MS 39440-4243
Phone number: 601-425-7522
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Mailing Address
-- BRANDI TYNES
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-425-7550
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