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Individual

REBECCA FINNEMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 865-1719
(228) 865-1780
Mailing address
1600 BROAD AVE, GULFPORT, MS 39501-3603
(228) 865-1719
(228) 865-1780

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
88134
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00018213
MS
Enumeration date
01/31/2019
Last updated
09/13/2019
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