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1154608222
WENDY L BALES
BRANDON, MS
NPI
1154608222
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R854865)
Enumeration Date
2011-11-03
Last Update Date
2022-02-08
Business Address
WENDY L BALES APMHNP
557 GRANTS FERRY RD
BRANDON, MS 39047-9023
Phone number: 601-665-4162
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Mailing Address
WENDY L BALES APMHNP
PO BOX 6537
LAUREL, MS 39441-6537
Phone number: 601-426-9614
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