SUSAN LEAKE SHOULTS

PASCAGOULA, MS
NPI1427174135
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  292396)
Enumeration Date2007-03-22
Last Update Date2007-07-08
Business Address
-- SUSAN LEAKE SHOULTS DDS
2910 MELTON AVE
PASCAGOULA, MS 39581-4120
Phone number: 228-762-9250
Mailing Address
-- SUSAN LEAKE SHOULTS DDS
2910 MELTON AVE
PASCAGOULA, MS 39581-4120
Phone number: 228-762-9250
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