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Individual

JOHN DENNIS NOWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
406 N BIERDEMAN RD, PEARL, MS 39208-4616
(601) 933-0038
Mailing address
PO BOX 97172, PEARL, MS 39288-7172
(601) 933-0038

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA0377
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HA0377
MS. DEPT. OF HEALTH
MS
Enumeration date
02/04/2020
Last updated
02/04/2020
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