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1336504778
TIA BEASLEY
TUPELO, MS
NPI
1336504778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MS PA00260)
Enumeration Date
2015-12-30
Last Update Date
2016-10-20
Business Address
TIA BEASLEY PA-C
109 MULBERRY DR
TUPELO, MS 38801-6993
Phone number: 662-255-3008
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Mailing Address
TIA BEASLEY PA-C
109 MULBERRY DR
TUPELO, MS 38801-6993
Phone number: 662-255-3008
Copy
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