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1144608407
STACY BEAVER
BUFFALO, NY
NPI
1144608407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY F307070-1)
Enumeration Date
2015-05-07
Last Update Date
2015-05-07
Business Address
-- STACY BEAVER
875 ELLICOTT ST
BUFFALO, NY 14203-1070
Phone number: 716-748-2000
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Mailing Address
-- STACY BEAVER
276 DENROSE DR
AMHERST, NY 14228-2657
Phone number: 716-799-2180
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