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Individual

DR. DENISSE LETICIA STAUFERT GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4400 OLD CANTON RD FL 3, JACKSON, MS 39211-5982
(888) 815-2005
Mailing address
504 CLINTON CENTER DR STE 4300, CLINTON, MS 39056-5610
(601) 984-1000
(601) 815-2005

Taxonomy

Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
31016
MS

Other

Enumeration date
07/04/2017
Last updated
12/27/2023
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