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Individual

DR. EDGAR M DAPREMONT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
428 COURTHOUSE RD, GULFPORT, MS 39507-1867
(228) 896-8050
(228) 896-3036
Mailing address
PO BOX 6545, GULFPORT, MS 39506-6545
(228) 896-8050
(228) 896-3036

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
09495
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0122910
MS
Enumeration date
06/09/2006
Last updated
03/06/2008
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