STACY DAWN ALLPORT-PRIDEMORE

SOUTH CHARLESTON, WV
NPI1649872425
Former NameSTACY DAWN ALLPORT
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WV  107640)
Enumeration Date2020-11-16
Last Update Date2020-11-19
Business Address
Mrs. STACY DAWN ALLPORT-PRIDEMORE FNP BC
332 6TH AVE
SOUTH CHARLESTON, WV 25303-1246
Phone number: 304-343-1950
Mailing Address
Mrs. STACY DAWN ALLPORT-PRIDEMORE FNP BC
332 6TH AVE
SOUTH CHARLESTON, WV 25303-1246
Phone number: 304-343-1950
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