NPI Details | |
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NPI | 1134552623 |
Enumeration Date | 08/20/2013 |
Last Updated | 09/25/2014 |
Entity Type | Healthcare Provider |
Active | Over 4 years ago |
Authorized Information | |
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Name | RAELINE K. RAELINE |
Position | OWNER |
Phone | (228) 539-5410 |
Fax | (228) 539-0265 |
Practice Location | |
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505 COWAN RD GULFPORT MS, 39507-2024, US |
|
Phone | (228) 539-5410 |
Fax | (228) 539-0265 |
Business Location | |
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505 COWAN RD GULFPORT MS, 39507-2024, US |
|
Phone | (228) 539-5410 |
Fax | (228) 539-0265 |
Toxanomy | |
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Taxonomy Code | 122300000X |
License State | Mississippi |
License Number | 3205-01 |
Remove 1134552623 NPI Number |
According to our database, Raeline K. Mcintyre, Dmd, P.c. NPI is 1134552623, taxonomy code is 122300000X and license number is 3205-01, license state is located at Mississippi. Raeline K. Mcintyre, Dmd, P.c. physically located at 505 Cowan Rd, Gulfport MS, 39507-2024. NPI Number 1033115704 has the healthcare provider type.
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1134552623 NPI number is provided on an as is basis without warranty of any kind. 1134552623 is maintained by the National Plan & Provider Enumeration System. The contents of Raeline K. Mcintyre, Dmd, P.c. are for informational purposes only.
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