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1164688891
STEPHANIE TERRY
CANTON, MS
NPI
1164688891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MS R866603)
Enumeration Date
2008-08-01
Last Update Date
2022-06-15
Business Address
STEPHANIE TERRY CFNP
1668 W PEACE ST
CANTON, MS 39046-5332
Phone number: 601-859-5213
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Mailing Address
STEPHANIE TERRY CFNP
PO BOX 588
CANTON, MS 39046-0588
Phone number: 601-859-5213
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