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1982831566
STEPHANIE N SOUTHARD, PSC
MONTICELLO, KY
NPI
1982831566
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Entity Type
Organization
Authorized Contact
STEPHANIE SOUTHARD
President
606-340-8825
Organization Subpart ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
Enumeration Date
2009-06-22
Last Update Date
2010-06-03
Business Address
STEPHANIE N SOUTHARD, PSC
1215 N MAIN ST SUITE 2
MONTICELLO, KY 42633-2900
Phone number: 606-340-8825
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Mailing Address
STEPHANIE N SOUTHARD, PSC
1215 N MAIN ST SUITE 2
MONTICELLO, KY 42633-2900
Phone number: 606-340-8825
Copy
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