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1639171234
WANDA JANE DEDEAUX
PASCAGOULA, MS
NPI
1639171234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R744414)
Enumeration Date
2005-08-12
Last Update Date
2007-07-08
Business Address
WANDA JANE DEDEAUX FNP
1820 OLD MOBILE AVE
PASCAGOULA, MS 39567-4412
Phone number: 228-696-0230
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Mailing Address
WANDA JANE DEDEAUX FNP
4622 EMERSON ST
PASCAGOULA, MS 39581-4713
Phone number: 228-623-5632
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