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1861942682
SHAWNA LEE MARTIN
OLIVE BRANCH, MS
NPI
1861942682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 901782)
Enumeration Date
2016-10-05
Last Update Date
2016-10-05
Business Address
-- SHAWNA LEE MARTIN AGPCNP-BC
10084 OAK RUN DR S
OLIVE BRANCH, MS 38654-4836
Phone number: 901-517-8641
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Mailing Address
-- SHAWNA LEE MARTIN AGPCNP-BC
10084 OAK RUN DR S
OLIVE BRANCH, MS 38654-4836
Phone number: 901-517-8641
Copy
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