GAUTIER FAMILY CLINIC, LLC

GAUTIER, MS
NPI1942962816
Entity TypeOrganization
Authorized ContactLAURA R. BOLEWARE
Owner
601-800-8580
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2021-10-08
Last Update Date2021-10-08
Business Address
GAUTIER FAMILY CLINIC, LLC
4533B GAUTIER VANCLEAVE RD
GAUTIER, MS 39553
Phone number: 228-202-5924
Mailing Address
GAUTIER FAMILY CLINIC, LLC
MARCIA EASTERWOOD P.O. BOX 177
ELLISVILLE, MS 39437
Phone number: 601-800-8580
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