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1083388359
STACY LEE EDGAR
POPLAR BLUFF, MO
NPI
1083388359
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MO 2021026192)
Enumeration Date
2021-08-02
Last Update Date
2021-11-11
Business Address
STACY LEE EDGAR FNP-C
2360 KATY LN
POPLAR BLUFF, MO 63901-2300
Phone number: 573-712-2546
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Mailing Address
STACY LEE EDGAR FNP-C
1961 COUNTY ROAD 607
POPLAR BLUFF, MO 63901-5544
Phone number: 573-300-9971
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