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1528531985
RYANE PLASTER DOTY
JACKSON, MS
NPI
1528531985
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 902854)
Enumeration Date
2019-01-09
Last Update Date
2021-05-21
Business Address
RYANE PLASTER DOTY NP
969 LAKELAND DR
JACKSON, MS 39216-4606
Phone number: 601-200-3100
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Mailing Address
RYANE PLASTER DOTY NP
PO BOX 23666
JACKSON, MS 39225-3666
Phone number: 601-200-3100
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