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1740246958
DIANA KIM ENNIS
COLUMBUS, MS
NPI
1740246958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WW0101X Registered Nurse, Women's Health Care, Ambulatory
(Licence: TN APN0000006307)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
Mrs. DIANA KIM ENNIS NP
100 INDEPENDENCE DR.
COLUMBUS, MS 39710-0001
Phone number: 662-434-2181
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Mailing Address
Mrs. DIANA KIM ENNIS NP
8536 TIMBER WALK CV
CORDOVA, TN 38018-4337
Phone number: 901-755-3599
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