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1669907424
LAUREN NICHOLE VANDERBURG
SOUTHAVEN, MS
NPI
1669907424
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN0000022895)
Enumeration Date
2017-04-28
Last Update Date
2020-02-21
Business Address
Mrs. LAUREN NICHOLE VANDERBURG
3451 GOODMAN RD E STE 115
SOUTHAVEN, MS 38672-9304
Phone number: 662-890-5555
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Mailing Address
Mrs. LAUREN NICHOLE VANDERBURG
3451 GOODMAN E RD 115
SOUTHAVEN, MS 38672-9304
Phone number: 662-890-5555
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