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1669879003
AMY O'DANIEL
TUPELO, MS
NPI
1669879003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R857611)
Enumeration Date
2014-12-01
Last Update Date
2016-05-26
Business Address
-- AMY O'DANIEL FNP-C
3411 W MAIN ST
TUPELO, MS 38801-9413
Phone number: 662-844-9376
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Mailing Address
-- AMY O'DANIEL FNP-C
3411 W MAIN ST
TUPELO, MS 38801-9413
Phone number: 662-844-9376
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