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1578296489
DEMETRIUS WILLIAMS
MANDEVILLE, LA
NPI
1578296489
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS 905371)
Enumeration Date
2022-07-07
Last Update Date
2023-05-22
Business Address
DEMETRIUS WILLIAMS PMHNP
1150 W CAUSEWAY APPROACH
MANDEVILLE, LA 70471-3038
Phone number: 866-530-6111
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Mailing Address
DEMETRIUS WILLIAMS PMHNP
PO BOX 18679
HATTIESBURG, MS 39404-8679
Phone number: 601-705-1901
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