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Individual

VICTORIA CAPUYAN GUEVARRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-6266
(601) 663-7324
Mailing address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-6266
(601) 663-7324

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14450
MS
207Q00000X
Family Medicine Physician
A52665
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00124569
MS
Enumeration date
08/21/2006
Last updated
11/05/2007
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