GWEN BUSSA

JACKSON, MS
NPI1275627747
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: MS  R131530)
Enumeration Date2006-10-02
Last Update Date2011-06-07
Business Address
Miss GWEN BUSSA CNM
350 W WOODROW WILSON AVE
JACKSON, MS 39213-7681
Phone number: 601-709-5160
Mailing Address
Miss GWEN BUSSA CNM
PO BOX 3437
JACKSON, MS 39207-3437
Phone number: 601-362-5321
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