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Individual

CAROLYN J ENGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
1340 BROAD AVE STE 420, GULFPORT, MS 39501-2459
(228) 575-1507
Mailing address
1340 BROAD AVE STE 420, GULFPORT, MS 39501-2459
(228) 575-1507

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R605441
MS

Other

Enumeration date
04/30/2009
Last updated
04/30/2009
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