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1447605290
MELISSA STANFORD
HATTIESBURG, MS
NPI
1447605290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: MS 902259)
Enumeration Date
2016-04-29
Last Update Date
2018-02-20
Business Address
MELISSA STANFORD CNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-268-5650
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Mailing Address
MELISSA STANFORD CNP
415 S 28TH AVE
HATTIESBURG, MS 39401-7246
Phone number: 601-268-5650
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