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1508803040
JEFFREY MAYBERRY
OPELIKA, AL
NPI
1508803040
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1-087876)
Enumeration Date
2006-06-01
Last Update Date
2007-07-08
Business Address
JEFFREY MAYBERRY CRNA
2000 PEPPERELL PKWY
OPELIKA, AL 36801-5452
Phone number: 800-232-5703
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Mailing Address
JEFFREY MAYBERRY CRNA
PO BOX 235019
MONTGOMERY, AL 36123-5019
Phone number: 334-279-1450
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