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1992324834
AMANDA ROSE SMITH
MONTICELLO, MS
NPI
1992324834
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 903907)
Enumeration Date
2020-04-10
Last Update Date
2020-09-16
Business Address
AMANDA ROSE SMITH FNP-C
1167 E BROAD ST
MONTICELLO, MS 39654-7682
Phone number: 601-587-1433
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Mailing Address
AMANDA ROSE SMITH FNP-C
PO BOX 490
MCCOMB, MS 39649-0490
Phone number: 601-249-2701
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