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1255748604
DONALD WAYNE WASHBURN
SOUTHAVEN, MS
NPI
1255748604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2014-07-17
Last Update Date
2014-07-17
Business Address
DONALD WAYNE WASHBURN
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-4000
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Mailing Address
DONALD WAYNE WASHBURN
7601 SOUTHCREST PKWY
SOUTHAVEN, MS 38671-4739
Phone number: 662-772-4000
Copy
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