DORETHA BOURNES

MONTICELLO, MS
NPI1487089546
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R858932)
Enumeration Date2013-09-09
Last Update Date2013-09-09
Business Address
-- DORETHA BOURNES NP
354 CUB BROWN RD
MONTICELLO, MS 39654-7505
Phone number: 601-587-4629
Mailing Address
-- DORETHA BOURNES NP
354 CUB BROWN RD
MONTICELLO, MS 39654-7505
Phone number: 601-587-4629
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