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Individual

MS. SHEILA LEE SHIPMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
IDC

Contact information

Practice address
NMCB SEVEN, UNIT 60252, GULFPORT, MS 34099-5061
(228) 871-2810
(228) 871-2135
Mailing address
3513 BEASLEY RD APT 5F, GAUTIER, MS 39553-5032
(228) 383-5888
(228) 871-2135

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
05/15/2007
Last updated
07/08/2007
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