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1033401088
COVA TERESA STIDHAM
LEITCHFIELD, KY
NPI
1033401088
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3006909)
Enumeration Date
2011-05-10
Last Update Date
2011-07-08
Business Address
-- COVA TERESA STIDHAM APRN
1895 ELIZABETHTOWN RD.
LEITCHFIELD, KY 42754-9138
Phone number: 270-230-0182
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Mailing Address
-- COVA TERESA STIDHAM APRN
1895 ELIZABETHTOWN RD.
LEITCHFIELD, KY 42754-9138
Phone number: 270-230-0182
Copy
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