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Individual

DR. STACEY DEPERRO WINFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
410 NORTH JERRY CLOWER BLVD, YAZOO CITY, MS 39194
(662) 746-3491
(662) 746-3946
Mailing address
410 NORTH JERRY CLOWER BLVD, YAZOO CITY, MS 39194
(662) 746-3491
(662) 746-3946

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
284694
MS

Other

Enumeration date
03/26/2007
Last updated
07/08/2007
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