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1134640162
LAUREL ELIZABETH STACY
CUSHING, OK
NPI
1134640162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OK 6503)
Enumeration Date
2017-06-29
Last Update Date
2020-09-16
Business Address
Dr. LAUREL ELIZABETH STACY DO
1030 E CHERRY ST
CUSHING, OK 74023-4102
Phone number: 918-225-0616
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Mailing Address
Dr. LAUREL ELIZABETH STACY DO
1145 S UTICA AVE STE 110
TULSA, OK 74104-4013
Phone number: 918-579-3825
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