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1215267018
REBECCA B HARTZOG
HATTIESBURG, MS
NPI
1215267018
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Former Name
REBECCA A BURRIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS R876189)
Enumeration Date
2009-12-30
Last Update Date
2020-08-11
Business Address
REBECCA B HARTZOG PMHNP
1 LINCOLN PKWY STE 304
HATTIESBURG, MS 39402-3261
Phone number: 601-261-1750
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Mailing Address
REBECCA B HARTZOG PMHNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-5159
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