FREDERICK JOSEPH DEBEN

PICAYUNE, MS
NPI1790827335
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R768485)
Enumeration Date2007-02-12
Last Update Date2013-03-21
Business Address
-- FREDERICK JOSEPH DEBEN NP
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Phone number: 601-798-2151
Mailing Address
-- FREDERICK JOSEPH DEBEN NP
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Phone number: 228-324-6406