KEISHA L OLIPHANT

NEWTON, MS
NPI1679710933
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R861070)
Enumeration Date2009-01-08
Last Update Date2009-01-08
Business Address
-- KEISHA L OLIPHANT FNP
9421 EASTSIDE DRIVE EXT
NEWTON, MS 39330-0000
Phone number: 601-683-2031
Mailing Address
-- KEISHA L OLIPHANT FNP
P O BOX 299 9421 EASTSIDE DRIVE EXT
NEWTON, MS 39330-0000
Phone number: 601-683-2031
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