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1104580109
DERRYIN NINAYE STAMPLEY
FAYETTE, MS
NPI
1104580109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
225000000X Orthotic Fitter
Enumeration Date
2021-10-26
Last Update Date
2021-10-26
Business Address
DERRYIN NINAYE STAMPLEY CPS
28 SNYDER RD
FAYETTE, MS 39069-5051
Phone number: 601-809-6004
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Mailing Address
DERRYIN NINAYE STAMPLEY CPS
28 SNYDER RD
FAYETTE, MS 39069-5051
Phone number: 601-809-6004
Copy