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1972875995
KATELYN REBECCA MOFFETT
MERIDIAN, MS
NPI
1972875995
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R882198)
Enumeration Date
2012-02-07
Last Update Date
2017-10-26
Business Address
-- KATELYN REBECCA MOFFETT FNP-C
1102 CONSTITUTION AVE
MERIDIAN, MS 39301-4001
Phone number: 601-683-3117
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Mailing Address
-- KATELYN REBECCA MOFFETT FNP-C
1102 CONSTITUTION AVE
MERIDIAN, MS 39301-4001
Phone number: 601-703-5600
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