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1609391903
STEPHANIE DAWN ICE
BRIDGEPORT, WV
NPI
1609391903
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV APRN75904-FNP-BC)
Enumeration Date
2017-08-08
Last Update Date
2022-04-05
Business Address
STEPHANIE DAWN ICE FNP-BC
227 MEDICAL PARK DR STE 103
BRIDGEPORT, WV 26330-9038
Phone number: 681-342-3500
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Mailing Address
STEPHANIE DAWN ICE FNP-BC
PO BOX 952
BARRACKVILLE, WV 26559-0952
Phone number: 304-816-6000
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