MISS Beverly G Dedual
NPI #1932825809 in Saucier, Mississippi
Provider Information
- NPI Number
- 1932825809
- Entity Type
- Individual
- Name
- MISS Beverly G Dedual
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Oct 12, 2022
- Last Updated
- Jan 11, 2024
Practice Location
- Address
- 18114 S VILLAGE DR
- City
- Saucier
- State
- Mississippi
- ZIP Code
- 39574-6520
- Phone
- (228) 263-4352
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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