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1043044282
STACY LYNN ELLIOTT
LAKELAND, FL
NPI
1043044282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
335E00000X Prosthetic/Orthotic Supplier
Enumeration Date
2024-08-29
Last Update Date
2024-08-29
Business Address
STACY LYNN ELLIOTT CPS
228 E PINE ST
LAKELAND, FL 33801-4967
Phone number: 863-581-7946
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Mailing Address
STACY LYNN ELLIOTT CPS
2214 COVENTRY AVE
LAKELAND, FL 33803-3119
Phone number:
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