JEFFERSON BUNTIN

PICAYUNE, MS
NPI1114318417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: MS  R881222)
Enumeration Date2015-02-09
Last Update Date2015-02-09
Business Address
-- JEFFERSON BUNTIN N.P.
146 HIGHLAND PKWY
PICAYUNE, MS 39466-5575
Phone number: 601-358-9765
Mailing Address
-- JEFFERSON BUNTIN N.P.
146 HIGHLAND PKWY
PICAYUNE, MS 39466-5575
Phone number:
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