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1417676271
STACY SHANTE REDMOND
COLUMBUS, MS
NPI
1417676271
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MS 903311)
Enumeration Date
2022-08-24
Last Update Date
2022-08-24
Business Address
STACY SHANTE REDMOND NP-C
3103 SIERRA CT
COLUMBUS, MS 39705-1807
Phone number: 662-889-7528
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Mailing Address
STACY SHANTE REDMOND NP-C
3103 SIERRA CT
COLUMBUS, MS 39705-1807
Phone number: 662-889-7528
Copy
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