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1073395521
STACEY SMITH OGDEN
BASTROP, LA
NPI
1073395521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: LA 232190)
Enumeration Date
2023-10-19
Last Update Date
2023-10-19
Business Address
STACEY SMITH OGDEN FNP-C
314 N. FRANKLIN STREET
BASTROP, LA 71220-4539
Phone number: 318-283-8887
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Mailing Address
STACEY SMITH OGDEN FNP-C
PO BOX 792
BASTROP, LA 71221-0792
Phone number: 318-283-8887
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