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1184629206
BEVERLY BRISCOE
SENATOBIA, MS
NPI
1184629206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R818032)
Enumeration Date
2005-06-15
Last Update Date
2010-08-19
Business Address
BEVERLY BRISCOE FNP
403 GETWELL DR STE B
SENATOBIA, MS 38668-2231
Phone number: 662-301-1128
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Mailing Address
BEVERLY BRISCOE FNP
106 E GILMORE ST
SENATOBIA, MS 38668-2701
Phone number: 662-519-6494
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