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1700280369
WANDA FISHER
MADISON, MS
NPI
1700280369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R672181)
Enumeration Date
2014-10-10
Last Update Date
2014-10-10
Business Address
-- WANDA FISHER
485 MOCKINGBIRD LN
MADISON, MS 39110-9577
Phone number: 601-906-1678
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Mailing Address
-- WANDA FISHER
485 MOCKINGBIRD LN
MADISON, MS 39110-9577
Phone number: 601-906-1678
Copy
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