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1700197977
HEATHER ELIZABETH WATERS
LUMBERTON, MS
NPI
1700197977
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Former Name
HEATHER ELIZABETH WHITE AULTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 21796)
Enumeration Date
2010-06-23
Last Update Date
2024-11-15
Business Address
HEATHER ELIZABETH WATERS DO
596 W 11TH AVE
LUMBERTON, MS 39455-2350
Phone number: 601-596-4215
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Mailing Address
HEATHER ELIZABETH WATERS DO
PO BOX 1729
HATTIESBURG, MS 39403-1729
Phone number: 601-545-8700
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