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1073985511
STACY OWENS
MOUNT VERNON, IL
NPI
1073985511
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Former Name
STACY CRAWFORD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: IL 043082639)
Enumeration Date
2015-10-23
Last Update Date
2015-10-23
Business Address
-- STACY OWENS LPN
2920 VETERANS MEMORIAL DR
MOUNT VERNON, IL 62864-5924
Phone number: 618-244-6544
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Mailing Address
-- STACY OWENS LPN
PO BOX 155
CHRISTOPHER, IL 62822-0155
Phone number: 618-724-2401
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