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1992161954
ENHANCED WELLNESS LIVING PLLC
JACKSON, MS
NPI
1992161954
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Entity Type
Organization
Authorized Contact
KELLY B ENGELMANN
Owner
601-364-1132
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R805546)
Enumeration Date
2016-01-06
Last Update Date
2016-01-06
Business Address
ENHANCED WELLNESS LIVING PLLC
1855 LAKELAND DR STE M20
JACKSON, MS 39216-4913
Phone number: 601-364-1132
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Mailing Address
ENHANCED WELLNESS LIVING PLLC
1855 LAKELAND DR STE M20
JACKSON, MS 39216-4913
Phone number: 601-364-1132
Copy
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