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1790827335
FREDERICK JOSEPH DEBEN
PICAYUNE, MS
NPI
1790827335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R768485)
Enumeration Date
2007-02-12
Last Update Date
2013-03-21
Business Address
FREDERICK JOSEPH DEBEN NP
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Phone number: 601-798-2151
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Mailing Address
FREDERICK JOSEPH DEBEN NP
422 MEMORIAL BLVD
PICAYUNE, MS 39466
Phone number: 228-324-6406
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