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1376157487
REBEKAH N STALLWORTH
PASCAGOULA, MS
NPI
1376157487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: MS 903918)
Enumeration Date
2020-09-04
Last Update Date
2023-07-28
Business Address
REBEKAH N STALLWORTH APRN
4502 LT EUGENE J MAJURE DR
PASCAGOULA, MS 39581-5305
Phone number: 228-696-9224
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Mailing Address
REBEKAH N STALLWORTH APRN
2101 HIGHWAY 90
GAUTIER, MS 39553-5340
Phone number: 228-497-7576
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