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1063860914
STACEY TAYLOR
DETROIT, MI
NPI
1063860914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MI 4704246188)
Enumeration Date
2016-06-01
Last Update Date
2021-10-29
Business Address
-- STACEY TAYLOR FNP
4201 SAINT ANTOINE ST STE 5C
DETROIT, MI 48201-2153
Phone number: 313-745-7999
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Mailing Address
-- STACEY TAYLOR FNP
1560 E MAPLE ROAD SUITE 400 - CREDENTIALING
TROY, MI 48083-1138
Phone number: 313-745-7999
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