MIA BEN'NA DURRELL

HATTIESBURG, MS
NPI1619693199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-10-17
Last Update Date2022-10-17
Business Address
MIA BEN'NA DURRELL
100 FOXGATE AVE APT 31D
HATTIESBURG, MS 39402-1840
Phone number: 601-597-9960
Mailing Address
MIA BEN'NA DURRELL
PO BOX 142
FAYETTE, MS 39069-0142
Phone number: 601-597-9960
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