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1245246099
TERESA STANFORD
AMORY, MS
NPI
1245246099
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS R613878)
Enumeration Date
2006-08-01
Last Update Date
2009-12-07
Business Address
-- TERESA STANFORD NP
1105 EARL FRYE BLVD
AMORY, MS 38821-5500
Phone number: 662-256-9327
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Mailing Address
-- TERESA STANFORD NP
123 MAIN ST N
AMORY, MS 38821-3416
Phone number: 662-256-7112
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