MARKETTA BLUE

MOUND BAYOU, MS
NPI1548671514
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  25120)
Enumeration Date2014-05-13
Last Update Date2024-09-13
Business Address
MARKETTA BLUE
702 MARTIN LUTHER KING ST
MOUND BAYOU, MS 38762-9314
Phone number: 662-741-8800
Mailing Address
MARKETTA BLUE
702 MARTIN LUTHER KING ST
MOUND BAYOU, MS 38762-9314
Phone number: 662-741-8800
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