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Organization
UNIVERSITY OF SOUTHERN MISSISSIPPI
Active
Organization
UNIVERSITY OF SOUTHERN MISSISSIPPI
Active
Other names
Gulf Park Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWANDA BASKIN PHD, FNP-C (DIRECTOR)
(601) 266-6081
Entity
Organization
Contact information
Practice address
117 BEACH PARK PL, LONG BEACH, MS 39560-6223
(228) 214-3300
Mailing address
117 BEACH PARK PL, LONG BEACH, MS 39560-6223
(228) 214-3300
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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