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1821501388
KEIELLA BUTLER
JACKSON, MS
NPI
1821501388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902338)
Enumeration Date
2017-11-07
Last Update Date
2019-09-20
Business Address
KEIELLA BUTLER PMHNP-BC
3450 HIGHWAY 80 W
JACKSON, MS 39209
Phone number: 601-321-2400
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Mailing Address
KEIELLA BUTLER PMHNP-BC
3450 HIGHWAY 80 W
JACKSON, MS 39209-7201
Phone number: 601-321-2400
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