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Individual

DR. AILEAN CHASE STINGLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1551 W GOVERNMENT ST, BRANDON, MS 39042
(601) 825-7280
(601) 825-8130
Mailing address
PO BOX 5043, JACKSON, MS 39296-5043
(601) 957-2343
(601) 957-2344

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
MS260691
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660135
MS
Enumeration date
03/07/2006
Last updated
07/04/2018
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