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1154763514
STACEY FARRELL
GREENWOOD, MS
NPI
1154763514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R855653)
Enumeration Date
2013-07-25
Last Update Date
2015-01-06
Business Address
-- STACEY FARRELL CNP
411 FULTON ST
GREENWOOD, MS 38930-4314
Phone number: 662-455-4434
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Mailing Address
-- STACEY FARRELL CNP
411 FULTON ST
GREENWOOD, MS 38930-4314
Phone number: 662-455-4434
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