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Individual

TIARA N SANDERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
50 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3424
(662) 633-4216
Mailing address
50 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3424
(662) 633-4216

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907284
MS

Other

Enumeration date
07/21/2025
Last updated
07/21/2025
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