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1083646210
TRINETTE STANFORD
DOTHAN, AL
NPI
1083646210
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-075043)
Enumeration Date
2006-07-07
Last Update Date
2010-03-31
Business Address
-- TRINETTE STANFORD CRNP
2020 ALEXANDER DR
DOTHAN, AL 36301-3004
Phone number: 334-673-4166
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Mailing Address
-- TRINETTE STANFORD CRNP
2450 COUNTY ROAD 40
ABBEVILLE, AL 36310-3018
Phone number: 334-585-5967
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