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1790138873
KATHERINE E EDERER
TUPELO, MS
NPI
1790138873
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Former Name
KATHERINE E LEE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 901620)
Enumeration Date
2016-07-13
Last Update Date
2018-12-10
Business Address
KATHERINE E EDERER PMHNP
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
KATHERINE E EDERER PMHNP
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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