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Individual

RUSHTON OVERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HIS

Contact information

Practice address
1625 E COUNTY LINE RD STE 520, JACKSON, MS 39211-1833
(601) 991-9661
(601) 991-1916
Mailing address
5750 JOHNSTON ST STE 502, LAFAYETTE, LA 70503-5334
(337) 294-8081
(337) 335-0015

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1290
LA
237700000X
Hearing Instrument Specialist
Primary
HA0633
MS

Other

Enumeration date
12/10/2019
Last updated
12/10/2019
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