Individual
MRS. CARLY AMBER ORSBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
7811 HIGHWAY 12 E, STEENS, MS 39766-9012
(662) 312-9734
Mailing address
7811 HIGHWAY 12 E, STEENS, MS 39766-9012
(662) 312-9734
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
103306
MS
Other
Enumeration date
12/05/2008
Last updated
12/05/2008
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