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1477933745
GARRETT DOUGLAS
GULFPORT, MS
NPI
1477933745
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS 882599)
Enumeration Date
2015-06-02
Last Update Date
2024-07-29
Business Address
GARRETT DOUGLAS
1240 BROAD AVE STE B
GULFPORT, MS 39501-2416
Phone number: 601-456-5100
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Mailing Address
GARRETT DOUGLAS
37 GOOD HOPE RD
COLUMBIA, MS 39429-8914
Phone number:
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