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1740791722
LAWANDA GLASS
CLEVELAND, MS
NPI
1740791722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902444)
Enumeration Date
2017-10-18
Last Update Date
2018-07-16
Business Address
LAWANDA GLASS PMHNP
714 3RD ST
CLEVELAND, MS 38732
Phone number: 662-846-2620
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Mailing Address
LAWANDA GLASS PMHNP
PO BOX 1505
GREENWOOD, MS 38935-1505
Phone number: 662-453-6211
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