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Dentravious Gates
NPI 1992534044 · on the registry since 2024 · sole proprietor
Practice
- Address
- 220 Hill Top Hts
Baldwyn, MS 38824 - Phone
- (662) 216-6672
Registry record
- Primary taxonomy
- 208100000X
208100000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-29
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