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1053515205
STACEE N CHURCH
CARMEL, IN
NPI
1053515205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: IN 28158064A)
Enumeration Date
2007-06-12
Last Update Date
2007-07-08
Business Address
-- STACEE N CHURCH RN
697 PRO-MED LN
CARMEL, IN 46032-5323
Phone number: 317-587-0567
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Mailing Address
-- STACEE N CHURCH RN
697 PRO-MED LN
CARMEL, IN 46032-5323
Phone number: 317-587-0567
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