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MRS. AMANDA COURTNEY EASTERLING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
509 BASSFIELD CEMETERY RD, BASSFIELD, MS 39421-8906
(228) 254-0976
Mailing address
509 BASSFIELD CEMETERY RD, BASSFIELD, MS 39421-8906
(228) 254-0976

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P323190
MS

Other

Enumeration date
07/22/2022
Last updated
07/22/2022
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