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1235376096
LEIGH ANN BONVILLAIN
JACKSON, MS
NPI
1235376096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS R869889)
Enumeration Date
2009-01-15
Last Update Date
2011-07-25
Business Address
Mrs. LEIGH ANN BONVILLAIN CRNA
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4124
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Mailing Address
Mrs. LEIGH ANN BONVILLAIN CRNA
4501 HWY 39 N APT 13F
MERIDIAN, MS 39301-1076
Phone number: 601-479-2924
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