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1851757413
KELLIE THORNTON
TUPELO, MS
NPI
1851757413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: MS 901391)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
-- KELLIE THORNTON NP
450 E PRESIDENT AVE
TUPELO, MS 38801-5599
Phone number: 662-377-4685
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Mailing Address
-- KELLIE THORNTON NP
830 S GLOSTER ST 1ST FLOOR EAST TOWER
TUPELO, MS 38801-4934
Phone number: 662-377-2395
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