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1740329689
BRENDA NAIL
KOSCIUSKO, MS
NPI
1740329689
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R672211)
Enumeration Date
2007-02-06
Last Update Date
2007-07-09
Business Address
-- BRENDA NAIL FNP
999 MARTIN LUTHER KING DRIVE
KOSCIUSKO, MS 39090
Phone number: 662-289-2351
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Mailing Address
-- BRENDA NAIL FNP
30169 ATTALA HWY 19
WEST, MS 39192-7922
Phone number: 662-289-2351
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