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1194935924
STACEY LYNN ROSE
OKLAHOMA CITY, OK
NPI
1194935924
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OK R0034330)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- STACEY LYNN ROSE CNS
4200 W MEMORIAL RD SUITE 708
OKLAHOMA CITY, OK 73120-9350
Phone number: 405-749-0210
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Mailing Address
-- STACEY LYNN ROSE CNS
4200 W MEMORIAL RD SUITE 708
OKLAHOMA CITY, OK 73120-9350
Phone number: 405-749-0210
Copy
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