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1821307349
CARRIE E MCKIERNON
SOUTHAVEN, MS
NPI
1821307349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R872656)
Enumeration Date
2010-10-01
Last Update Date
2014-10-21
Business Address
MRS. CARRIE E MCKIERNON CFNP
7668 AIRWAYS BLVD
SOUTHAVEN, MS 38671-5304
Phone number: 901-683-0055
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Mailing Address
MRS. CARRIE E MCKIERNON CFNP
7668 AIRWAYS BLVD
SOUTHAVEN, MS 38671-5304
Phone number: 901-683-0055
Copy
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