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1063756492
AMY LYNN STAKER
MORRIS, IL
NPI
1063756492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010035)
Enumeration Date
2012-11-26
Last Update Date
2024-08-07
Business Address
AMY LYNN STAKER APRN
100 GORE RD
MORRIS, IL 60450-9466
Phone number: 815-364-8919
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Mailing Address
AMY LYNN STAKER APRN
725 SCHOOL ST STE A
MORRIS, IL 60450-1207
Phone number: 815-941-9124
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