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1003344045
STACY JOELLE LANE
CHAPEL HILL, NC
NPI
1003344045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: NC 229867)
Enumeration Date
2017-06-02
Last Update Date
2017-06-02
Business Address
STACY JOELLE LANE
160 DENTAL CIRCLE
CHAPEL HILL, NC 27599-7064
Phone number: 919-966-4095
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Mailing Address
STACY JOELLE LANE
1312 RODESSA RUN
RALEIGH, NC 27607-6011
Phone number:
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