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1720408677
STACEY L WATERS
MONTGOMERY, AL
NPI
1720408677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: AL 1-092991)
Enumeration Date
2014-04-18
Last Update Date
2024-09-30
Business Address
Ms. STACEY L WATERS CRNP
4145 CARMICHAEL RD
MONTGOMERY, AL 36106-2803
Phone number: 334-273-7000
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Mailing Address
Ms. STACEY L WATERS CRNP
4145 CARMICHAEL RD
MONTGOMERY, AL 36106-2803
Phone number: 334-273-7000
Copy
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