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1235629171
STACEY MARIE LAND
CALHOUN, GA
NPI
1235629171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN190644)
Enumeration Date
2018-05-16
Last Update Date
2024-09-13
Business Address
STACEY MARIE LAND AGACNP-BC
251 HIGHWAY 53 E
CALHOUN, GA 30701-3026
Phone number: 706-625-4410
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Mailing Address
STACEY MARIE LAND AGACNP-BC
210 WILLOWBROOK DR SE
CALHOUN, GA 30701-1410
Phone number: 706-264-6751
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