MAVIS PRUDE

TUPELO, MS
NPI1730778507
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: MS  R637165)
Enumeration Date2021-01-15
Last Update Date2021-01-15
Business Address
MAVIS PRUDE RN
136 MLK AVE
TUPELO, MS 38801
Phone number: 662-422-1281
Mailing Address
MAVIS PRUDE RN
PO BOX 594
VERONA, MS 38879-0594
Phone number: 662-422-1281
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