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Individual

DR. BLANCHE C JUGUILON HAVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
180B DEBUYS RD, STE 104, BILOXI, MS 39531
(228) 388-7989
Mailing address
180B DEBUYS RD, STE 104, BILOXI, MS 39531
(228) 388-7989

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
11877
MS
2084P0800X
Psychiatry Physician
16183 MD
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00019142
MS
Enumeration date
04/18/2007
Last updated
07/08/2007
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