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1356192421
DEVONTRE STEPHON BURDETTE
HATTIESBURG, MS
NPI
1356192421
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2024-03-28
Last Update Date
2024-03-28
Business Address
DEVONTRE STEPHON BURDETTE
118 COLLEGE DR
HATTIESBURG, MS 39406-0002
Phone number: 601-266-5437
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Mailing Address
DEVONTRE STEPHON BURDETTE
421 S 34TH AVE
HATTIESBURG, MS 39402-1708
Phone number: 662-689-0628
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