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Individual

THELMA R STEPHENS-ROSS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
PO BOX 16068, HIGH POINT, NC 27261-6068
(336) 882-4615
(336) 884-1643

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
Primary
IL

Other

Enumeration date
02/10/2006
Last updated
07/08/2007
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