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1871805820
KIMBERLY COGHLAN AGENT
CARTHAGE, MS
NPI
1871805820
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R870206)
Enumeration Date
2010-07-07
Last Update Date
2013-12-09
Business Address
-- KIMBERLY COGHLAN AGENT FNP-C
407 S VALLEY ST
CARTHAGE, MS 39051-4051
Phone number: 601-298-0333
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Mailing Address
-- KIMBERLY COGHLAN AGENT FNP-C
864 WILSON DR SUITE C
RIDGELAND, MS 39157-4512
Phone number: 601-206-6100
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