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Organization

FAMILY CARE CLINIC OF RIPLEY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WANDA STROUPE (NURSE PRACTITIONER)
(662) 993-9336
Entity
Organization

Contact information

Practice address
1007 N MAIN ST, RIPLEY, MS 38663-1424
(662) 993-9336
(662) 993-9338
Mailing address
PO BOX 4027, TUPELO, MS 38803-4027
(662) 993-9336
(662) 993-9338

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03132873
MS
Enumeration date
11/27/2006
Last updated
06/01/2011
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