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1952563041
DEREK GAVIN DAVIS
MCCOMB, MS
NPI
1952563041
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: MS R873427)
Enumeration Date
2008-06-30
Last Update Date
2008-06-30
Business Address
Mr. DEREK GAVIN DAVIS CRNA
215 MARION AVE
MCCOMB, MS 39648-2705
Phone number: 601-249-5500
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Mailing Address
Mr. DEREK GAVIN DAVIS CRNA
215 MARION AVE
MCCOMB, MS 39648-2705
Phone number: 601-249-5500
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