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Individual

MS. DEANNA CAROLE BOYETTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
786 OLD PROGRESS RD, MOSELLE, MS 39459-9583
(601) 582-5199
Mailing address
786 OLD PROGRESS RD, MOSELLE, MS 39459-9583
(601) 582-5199

Taxonomy

Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
E-08177
MS

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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