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1366912529
CARISSA MARTINE BOLDEN
BILOXI, MS
NPI
1366912529
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 902960)
Enumeration Date
2018-11-30
Last Update Date
2023-01-08
Business Address
CARISSA MARTINE BOLDEN NP
249 BEAUVOIR RD STE B2
BILOXI, MS 39531-4008
Phone number: 601-283-8999
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Mailing Address
CARISSA MARTINE BOLDEN NP
109 SELLERS ST
WIGGINS, MS 39577-8743
Phone number: 601-528-0203
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