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Individual

CRYSTAL DEER-WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
114 S 4TH ST, MCCOMB, MS 39648-4005
(769) 204-3488
Mailing address
114 S 4TH ST, MCCOMB, MS 39648-4005
(601) 996-0455

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
336930
MS

Other

Enumeration date
02/02/2021
Last updated
12/14/2022
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