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1487089546
DORETHA BOURNES
MONTICELLO, MS
NPI
1487089546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R858932)
Enumeration Date
2013-09-09
Last Update Date
2013-09-09
Business Address
DORETHA BOURNES NP
354 CUB BROWN RD
MONTICELLO, MS 39654-7505
Phone number: 601-587-4629
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Mailing Address
DORETHA BOURNES NP
354 CUB BROWN RD
MONTICELLO, MS 39654-7505
Phone number: 601-587-4629
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