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1104103043
STACEY LYNN FREY
TUBA CITY, AZ
NPI
1104103043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: AZ RN169314)
Enumeration Date
2011-11-07
Last Update Date
2011-11-07
Business Address
-- STACEY LYNN FREY RN
167 NORTH MAIN ST
TUBA CITY, AZ 86045
Phone number: 928-283-2781
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Mailing Address
-- STACEY LYNN FREY RN
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2781
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