Individual
DOMINIQUE BURSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
604 ADELINE ST, HATTIESBURG, MS 39401-3897
(601) 606-7729
Mailing address
119 MAGNOLIA DR, HATTIESBURG, MS 39402-9474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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