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1023355484
STACY T SULLENBERGER
SPRINGBORO, OH
NPI
1023355484
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OH APRN.CNP.14148)
Enumeration Date
2013-01-04
Last Update Date
2024-09-05
Business Address
STACY T SULLENBERGER PNP
662 N MAIN ST
SPRINGBORO, OH 45066-9553
Phone number: 937-641-5066
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Mailing Address
STACY T SULLENBERGER PNP
1 CHILDRENS PLZ
DAYTON, OH 45404-1815
Phone number: 937-641-3555
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