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1053447870
STACIE LA JEUNESSE
GRASS VALLEY, CA
NPI
1053447870
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: NC 300243)
Enumeration Date
2007-02-26
Last Update Date
2022-11-30
Business Address
STACIE LA JEUNESSE CPNP
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945-8524
Phone number: 530-274-9762
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Mailing Address
STACIE LA JEUNESSE CPNP
844 OLD TUNNEL RD
GRASS VALLEY, CA 95945-8524
Phone number: 530-274-9762
Copy
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