Individual
DEVONTRE STEPHON BURDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 COLLEGE DR, HATTIESBURG, MS 39406-0002
(601) 266-5437
Mailing address
421 S 34TH AVE, HATTIESBURG, MS 39402-1708
(662) 689-0628
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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