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1821697210
KATIE SCIANNA MOORE
HATTIESBURG, MS
NPI
1821697210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MS 903811)
Enumeration Date
2020-10-19
Last Update Date
2020-10-19
Business Address
KATIE SCIANNA MOORE CPNP-PC
4210 LINCOLN RD
HATTIESBURG, MS 39402-3093
Phone number: 601-261-3500
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Mailing Address
KATIE SCIANNA MOORE CPNP-PC
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3500
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