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1922497759
MARLENE VICKERY
TUPELO, MS
NPI
1922497759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R872088)
Enumeration Date
2015-01-16
Last Update Date
2015-01-16
Business Address
-- MARLENE VICKERY
845 S MADISON ST
TUPELO, MS 38801-4905
Phone number: 662-377-2539
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Mailing Address
-- MARLENE VICKERY
450 E PRESIDENT AVE
TUPELO, MS 38801-5599
Phone number: 662-377-4685
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