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Individual

ANGELA R BUSBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2210 MILL STREET EXT # B, LUCEDALE, MS 39452-6064
(601) 947-9005
(601) 947-9007
Mailing address
190 BEAUVOIR RD, BILOXI, MS 39531-5004
(228) 388-5714
(228) 388-0017

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT2067
MS

Other

Enumeration date
04/23/2007
Last updated
07/08/2007
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