KATHERINE MICHELLE BRUISTER

GULFPORT, MS
NPI1639996952
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: MS  PA00833)
Enumeration Date2024-09-26
Last Update Date2024-09-26
Business Address
KATHERINE MICHELLE BRUISTER PA
4215 15TH ST
GULFPORT, MS 39501-2523
Phone number: 228-863-5211
Mailing Address
KATHERINE MICHELLE BRUISTER PA
PO BOX 1810
GULFPORT, MS 39502-1810
Phone number: 228-863-5211
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