TYRONE LEAVETTE RUPERT

COLUMBUS, MS
NPI1164759965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R867788)
Enumeration Date2009-11-16
Last Update Date2009-11-16
Business Address
-- TYRONE LEAVETTE RUPERT N.P.
824 ALABAMA ST
COLUMBUS, MS 39702-5436
Phone number: 662-244-0391
Mailing Address
-- TYRONE LEAVETTE RUPERT N.P.
3119 SIERRA CT
COLUMBUS, MS 39705-1807
Phone number: 662-889-3246
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