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1710287263
STACIE A SIDEBOTHAM
FAYETTEVILLE, NC
NPI
1710287263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 5004935)
Enumeration Date
2010-11-01
Last Update Date
2016-04-07
Business Address
Mrs. STACIE A SIDEBOTHAM FNP
405 OWEN DR
FAYETTEVILLE, NC 28304-3411
Phone number: 910-323-3183
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Mailing Address
Mrs. STACIE A SIDEBOTHAM FNP
413 OWEN DR STE 201
FAYETTEVILLE, NC 28304-3490
Phone number: 910-323-9111
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