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1114531902
STACEY MICHELLE YOUNGBLOOD
LUFKIN, TX
NPI
1114531902
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX 1011393)
Enumeration Date
2020-08-31
Last Update Date
2020-08-31
Business Address
Mrs. STACEY MICHELLE YOUNGBLOOD APRN-CNP
1229 OLD EWING RD
LUFKIN, TX 75901-0729
Phone number: 936-240-9726
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Mailing Address
Mrs. STACEY MICHELLE YOUNGBLOOD APRN-CNP
1229 OLD EWING RD
LUFKIN, TX 75901-0729
Phone number: 936-240-9726
Copy
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