BEVERLY MEDLEN

JACKSON, MI
NPI1487683090
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: VA  0001105757)
Enumeration Date2006-07-03
Last Update Date2007-07-08
Business Address
-- BEVERLY MEDLEN CRNA
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
Mailing Address
-- BEVERLY MEDLEN CRNA
744 W MICHIGAN AVE
JACKSON, MI 49201-1909
Phone number: 517-787-6440
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