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1740821941
KATELYN C BOREN
TUPELO, MS
NPI
1740821941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 903402)
Enumeration Date
2019-09-30
Last Update Date
2019-09-30
Business Address
KATELYN C BOREN
499 GLOSTER CREEK VLG STE A1
TUPELO, MS 38801-4749
Phone number: 662-432-0700
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Mailing Address
KATELYN C BOREN
370 CROWN DR
FULTON, MS 38843-6018
Phone number: 662-255-6963
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