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1124107388
JUANITA DEROUEN
GULFPORT, MS
NPI
1124107388
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MS R848958)
Enumeration Date
2006-11-06
Last Update Date
2007-07-08
Business Address
JUANITA DEROUEN CRNA
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-818-0563
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Mailing Address
JUANITA DEROUEN CRNA
22 DOCTORS DR SUITE C
OCEAN SPRINGS, MS 39564
Phone number: 228-818-0563
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