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1720625841
COREY LYLE GAMBRELL
HATTIESBURG, MS
NPI
1720625841
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS 901606)
Enumeration Date
2019-12-09
Last Update Date
2020-01-08
Business Address
COREY LYLE GAMBRELL
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606
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Mailing Address
COREY LYLE GAMBRELL
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-261-3606
Copy
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