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1053667840
STACEY L MCDONALD
MOBILE, AL
NPI
1053667840
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: AL 1-108166)
Enumeration Date
2012-07-30
Last Update Date
2013-01-10
Business Address
-- STACEY L MCDONALD CRNP
5 MOBILE INFIRMARY CIR
MOBILE, AL 36607-3513
Phone number: 251-435-2646
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Mailing Address
-- STACEY L MCDONALD CRNP
PO BOX 10583
BIRMINGHAM, AL 35202-0583
Phone number:
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