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1205012234
STACY LYNN PARK
CHATTANOOGA, TN
NPI
1205012234
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN APN0000012977)
Enumeration Date
2008-01-22
Last Update Date
2008-12-10
Business Address
Mrs. STACY LYNN PARK FNP
721 GLENWOOD DR SUITE 462A
CHATTANOOGA, TN 37404-1106
Phone number: 423-624-2611
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Mailing Address
Mrs. STACY LYNN PARK FNP
721 GLENWOOD DR SUITE 462A
CHATTANOOGA, TN 37404-1106
Phone number: 423-624-2611
Copy
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