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1750325528
KENNETH CRAVEN
LAUREL, MS
NPI
1750325528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R791115)
Enumeration Date
2006-06-15
Last Update Date
2014-02-11
Business Address
Mr. KENNETH CRAVEN FNP
1220 JEFFERSON ST
LAUREL, MS 39440-4355
Phone number: 601-399-6167
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Mailing Address
Mr. KENNETH CRAVEN FNP
PO BOX 247
LAUREL, MS 39441-0247
Phone number: 601-399-6167
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