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1871726182
GWENDOLYN PITCOCK SHIRLEY
SOUTHAVEN, MS
NPI
1871726182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R858450)
Enumeration Date
2009-09-02
Last Update Date
2010-02-09
Business Address
Mrs. GWENDOLYN PITCOCK SHIRLEY FNP
2149 STATELINE RD W
SOUTHAVEN, MS 38671-1222
Phone number: 662-342-1112
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Mailing Address
Mrs. GWENDOLYN PITCOCK SHIRLEY FNP
3402 TOCOWA RD
COURTLAND, MS 38620-9213
Phone number: 662-563-3994
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