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1790548311
KATIE ANTLE
ECRU, MS
NPI
1790548311
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 906501)
Enumeration Date
2024-02-05
Last Update Date
2024-02-12
Business Address
KATIE ANTLE FNP-C
5482 HIGHWAY 15 N
ECRU, MS 38841-8471
Phone number: 662-488-8799
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Mailing Address
KATIE ANTLE FNP-C
537 FORD AVE
GUNTOWN, MS 38849-7915
Phone number: 662-822-5117
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