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1245713106
STACEY JENNINGS
TUPELO, MS
NPI
1245713106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: MS 893757)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
STACEY JENNINGS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
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Mailing Address
STACEY JENNINGS
2434 S EASON BLVD
TUPELO, MS 38804-6942
Phone number: 662-640-4595
Copy
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