BEVERLY FULGHAM STAFFORD

JACKSON, MS
NPI1942396650
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MS  R734107)
Enumeration Date2006-10-04
Last Update Date2008-01-22
Business Address
Mrs. BEVERLY FULGHAM STAFFORD CRNA
1500 E WOODROW WILSON
JACKSON, MS 39216
Phone number: 601-362-4471
Mailing Address
Mrs. BEVERLY FULGHAM STAFFORD CRNA
104 TRACIER CRST
CLINTON, MS 39056-6236
Phone number: 601-924-7732
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