BLAKELEY WARD

JACKSON, MS
NPI1184675571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R858198)
Enumeration Date2006-05-12
Last Update Date2017-11-02
Business Address
BLAKELEY WARD CRNA
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-4619
Mailing Address
BLAKELEY WARD CRNA
2500 N STATE ST PFS
JACKSON, MS 39216-4500
Phone number: 601-984-5900
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