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MRS. ELIZABETH EVANS BEVERLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 867-4000
Mailing address
10335 BLACK GUM DR, VANCLEAVE, MS 39565-5346
(228) 591-1580

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R859850
MS

Other

Enumeration date
02/17/2013
Last updated
02/17/2013
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