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1083963532
STACEY DEANNE GRAHAM
CHICO, CA
NPI
1083963532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CA 21618)
Enumeration Date
2012-08-30
Last Update Date
2023-07-17
Business Address
Ms. STACEY DEANNE GRAHAM FNP-C
1405 MAGNOLIA AVE SUITE C
CHICO, CA 95926
Phone number: 530-332-7768
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Mailing Address
Ms. STACEY DEANNE GRAHAM FNP-C
1531 ESPLANADE
CHICO, CA 95926-3310
Phone number: 530-332-7768
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