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1174530976
STACY D BLUM
NEBRASKA CITY, NE
NPI
1174530976
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Former Name
STACY D FAIRBANKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 22314)
Enumeration Date
2006-08-02
Last Update Date
2018-02-16
Business Address
STACY D BLUM MD
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410-3320
Phone number: 402-873-4242
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Mailing Address
STACY D BLUM MD
1301 GRUNDMAN BLVD STE A
NEBRASKA CITY, NE 68410-3320
Phone number: 402-873-4242
Copy
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