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Individual

MARGARET Y. POOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-9687
(601) 703-9920
Mailing address
1314 19TH AVE, MERIDIAN, MS 39301-4116
(601) 703-4282
(601) 703-4597

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R135160
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00111532
MS
01
430001576
RAILROAD MEDICARE
Enumeration date
11/15/2005
Last updated
11/09/2013
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