Individual
MRS. DORITA JANE BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
30 CIRCLE J DR STE 1, LAUREL, MS 39440-1981
(601) 425-0092
Mailing address
30 CIRCLE J DR STE 1, LAUREL, MS 39440-1981
(601) 425-0092
(601) 425-0473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
904645
MS
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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