Individual
MR. JACK EDWARD DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5000
Mailing address
2708 HARGROVE DR, OCEAN SPRINGS, MS 39564-5411
(228) 872-1556
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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