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1770199523
KENYATTA COWAINS
OLIVE BRANCH, MS
NPI
1770199523
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS COWA-NINHNZ)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
KENYATTA COWAINS FNP-C
9400 GOODMAN RD APT 3704
OLIVE BRANCH, MS 38654-1979
Phone number: 662-820-5769
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Mailing Address
KENYATTA COWAINS FNP-C
9400 GOODMAN RD APT 3704
OLIVE BRANCH, MS 38654-1979
Phone number: 662-820-5769
Copy
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