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1083797765
STACY REBEKAH SHANKLE
KINGSPORT, TN
NPI
1083797765
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2006-10-24
Last Update Date
2007-07-08
Business Address
Mrs. STACY REBEKAH SHANKLE BS
2001 STONEBROOK PLACE
KINGSPORT, TN 37660
Phone number: 423-224-1000
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Mailing Address
Mrs. STACY REBEKAH SHANKLE BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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