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1104215854
STACEY L. FAWBUSH
SPRINGFIELD, MO
NPI
1104215854
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: MO 2014044284)
Enumeration Date
2015-01-20
Last Update Date
2019-04-03
Business Address
STACEY L. FAWBUSH FNP-C
1000 E PRIMROSE ST
SPRINGFIELD, MO 65807-5154
Phone number: 417-269-9812
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Mailing Address
STACEY L. FAWBUSH FNP-C
PO BOX 4046
SPRINGFIELD, MO 65808-4046
Phone number: 417-269-5712
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