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1689996282
PHYLLIS FIVEASH
CORINTH, MS
NPI
1689996282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R871915)
Enumeration Date
2010-02-23
Last Update Date
2018-05-15
Business Address
-- PHYLLIS FIVEASH CFNP
2001 STATE DR
CORINTH, MS 38834-9324
Phone number: 662-286-3694
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Mailing Address
-- PHYLLIS FIVEASH CFNP
401 ALCORN DR STE 2C
CORINTH, MS 38834-9073
Phone number: 901-683-0055
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