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1811472681
KELLIE GROVE
TUPELO, MS
NPI
1811472681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902777)
Enumeration Date
2018-09-27
Last Update Date
2023-04-13
Business Address
KELLIE GROVE MSN, FNP-C
860 SOUTH MADISON STREET
TUPELO, MS 38801
Phone number: 662-377-7150
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Mailing Address
KELLIE GROVE MSN, FNP-C
860 SOUTH MADISON STREET
TUPELO, MS 38801
Phone number: 662-377-7150
Copy
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