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1972352821
CYNEICEYA ANNETTE WALLACE
GREENWOOD, MS
NPI
1972352821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: MS 906657)
Enumeration Date
2024-05-14
Last Update Date
2024-05-14
Business Address
CYNEICEYA ANNETTE WALLACE MSN, APRN, AGPCNP-BC
1401 RIVER RD
GREENWOOD, MS 38930-4030
Phone number: 662-459-7000
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Mailing Address
CYNEICEYA ANNETTE WALLACE MSN, APRN, AGPCNP-BC
406 KEESLER ST
GREENWOOD, MS 38930-3216
Phone number: 662-299-9832
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