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1073916771
JEANETTE SHABAZZ
OCEAN SPRINGS, MS
NPI
1073916771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R885984)
Enumeration Date
2014-10-08
Last Update Date
2016-01-11
Business Address
JEANETTE SHABAZZ
3890 BIENVILLE BLVD
OCEAN SPRINGS, MS 39564-5803
Phone number: 228-872-6291
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Mailing Address
JEANETTE SHABAZZ
3616 HOSPITAL ST
PASCAGOULA, MS 39581-4117
Phone number: 228-769-1035
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