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1730340563
KAYTI A POWELL
SEBASTOPOL, MS
NPI
1730340563
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS R864059)
Enumeration Date
2008-06-24
Last Update Date
2017-04-12
Business Address
-- KAYTI A POWELL CPNP
1488 HWY 487 EAST
SEBASTOPOL, MS 39359-0150
Phone number: 601-625-7403
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Mailing Address
-- KAYTI A POWELL CPNP
1488 HWY 487 EAST PO BOX 150
SEBASTOPOL, MS 39359-0150
Phone number: 601-625-7403
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