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Blaine Bunch
NPI 1053061259 · on the registry since 2022 · sole proprietor
Practice
- Address
- 1304 Walnut St
Waynesboro, MS 39367 - Phone
- (601) 735-9025
- Organisation at this address
- Ms Hud Pine View Llc
Pensacola Health Trust Inc
1304 Walnut Street Operations, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi