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1639700602
TRACI M STAFFORD
DOTHAN, AL
NPI
1639700602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: AL 1-122428)
Enumeration Date
2020-01-29
Last Update Date
2024-12-04
Business Address
TRACI M STAFFORD CRNP
1118 ROSS CLARK CIR STE 303
DOTHAN, AL 36301-3034
Phone number: 334-794-3192
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Mailing Address
TRACI M STAFFORD CRNP
1118 ROSS CLARK CIR STE 303
DOTHAN, AL 36301-3034
Phone number: 334-794-3192
Copy
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