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1124636576
STACIE BOWEN
CHARLESTON, WV
NPI
1124636576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 106970)
Enumeration Date
2020-07-21
Last Update Date
2020-07-21
Business Address
STACIE BOWEN APRN-CNP
4307 MACCORKLE AVE SE
CHARLESTON, WV 25304-2500
Phone number: 304-205-6123
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Mailing Address
STACIE BOWEN APRN-CNP
103 STATION PLACE WAY
HURRICANE, WV 25526-8747
Phone number: 304-205-6123
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