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1477029163
STEPHANIE JEAN TISDAL
DURHAM, NC
NPI
1477029163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5011137)
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
Mrs. STEPHANIE JEAN TISDAL MSN, A-GNP-C
1824 HILLANDALE RD
DURHAM, NC 27705-2650
Phone number: 919-383-6107
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Mailing Address
Mrs. STEPHANIE JEAN TISDAL MSN, A-GNP-C
8705 BRANDON STATION RD
RALEIGH, NC 27613-4307
Phone number: 479-462-5186
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