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1659856698
DEBORAH TRAYLOR WILMOTH
PONTOTOC, MS
NPI
1659856698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 902959)
Enumeration Date
2018-09-25
Last Update Date
2024-05-23
Business Address
DEBORAH TRAYLOR WILMOTH Nurse Practitioner
353 HIGHWAY 15 N
PONTOTOC, MS 38863-1103
Phone number: 662-490-1985
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Mailing Address
DEBORAH TRAYLOR WILMOTH Nurse Practitioner
PO BOX 497
AUGUSTA, AR 72006-0497
Phone number: 870-347-2534
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