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1003055005
STEPHANIE D. SMITH
ELLISVILLE, MS
NPI
1003055005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R865285)
Enumeration Date
2009-02-13
Last Update Date
2009-02-13
Business Address
Mrs. STEPHANIE D. SMITH CFNP
1101 HWY 11 S
ELLISVILLE, MS 39437-4443
Phone number: 601-477-5770
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Mailing Address
Mrs. STEPHANIE D. SMITH CFNP
57 WATERTANK RD
LAUREL, MS 39443-2954
Phone number: 601-577-1000
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