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1760093777
AMBER LEA CASSANDRA TARVER
GULFPORT, MS
NPI
1760093777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 904007)
Enumeration Date
2020-08-12
Last Update Date
2020-08-12
Business Address
Ms. AMBER LEA CASSANDRA TARVER NP
15190 COMMUNITY RD STE 220
GULFPORT, MS 39503-3483
Phone number: 228-539-3356
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Mailing Address
Ms. AMBER LEA CASSANDRA TARVER NP
5300 OAK PARK DR UNIT 5316
DIAMONDHEAD, MS 39525-3218
Phone number: 228-342-2975
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