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Individual

MISS MARY ELIZABETH SPRAGUE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
18108 STEAMER WAY, GULFPORT, MS 39503-5244
(228) 249-9532
Mailing address
18108 STEAMER WAY, GULFPORT, MS 39503-5244
(228) 249-9532

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R863339
MS

Other

Enumeration date
06/13/2012
Last updated
06/13/2012
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