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1023419629
STACEY COTTRELL
ELDON, MO
NPI
1023419629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MO 2011002444)
Enumeration Date
2014-09-15
Last Update Date
2014-09-15
Business Address
-- STACEY COTTRELL LPN
206 S MILL ST
ELDON, MO 65026-1864
Phone number: 573-392-1828
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Mailing Address
-- STACEY COTTRELL LPN
1324 S AURORA ST
ELDON, MO 65026-1695
Phone number: 573-286-9105
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