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1437460698
BETH ANN SHAY-STIDOM
FORT CAMPBELL, KY
NPI
1437460698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2010-06-23
Last Update Date
2010-06-23
Business Address
-- BETH ANN SHAY-STIDOM
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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Mailing Address
-- BETH ANN SHAY-STIDOM
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8372
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