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Individual

MR. JONATHAN PLATNER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
IDC

Contact information

Practice address
19314 HIGH PL, SAUCIER, MS 39574-7529
(228) 871-2810
Mailing address
19314 HIGH PL, SAUCIER, MS 39574-7529

Taxonomy

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

Other

Enumeration date
03/09/2006
Last updated
07/08/2007
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