CHARLES E DALTON

TUPELO, MS
NPI1720004914
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R860109)
Enumeration Date2006-07-14
Last Update Date2010-11-16
Business Address
-- CHARLES E DALTON CRNA
830 SOUTH GLOSTER
TUPELO, MS 38801
Phone number: 662-377-4394
Mailing Address
-- CHARLES E DALTON CRNA
PO BOX 3294
TUPELO, MS 38803-3294
Phone number: 662-377-4394
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