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1821583196
AMANDA HOUSTON TRENT
TUPELO, MS
NPI
1821583196
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MS 902537)
Enumeration Date
2018-06-28
Last Update Date
2018-06-28
Business Address
AMANDA HOUSTON TRENT AGACNP
4381 S EASON BLVD STE 203
TUPELO, MS 38801-6557
Phone number: 662-377-5199
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Mailing Address
AMANDA HOUSTON TRENT AGACNP
4381 S EASON BLVD. STE. #203
TUPELO, MS 38801
Phone number: 662-377-5199
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