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1245061357
STACRY RAE MILLIMAN
LEESBURG, FL
NPI
1245061357
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP11034665)
Enumeration Date
2024-08-10
Last Update Date
2024-08-17
Business Address
STACRY RAE MILLIMAN ARNP
700 DOCTORS CT
LEESBURG, FL 34748-7314
Phone number: 352-787-9838
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Mailing Address
STACRY RAE MILLIMAN ARNP
5277 RISHLEY RUN WAY
MOUNT DORA, FL 32757-8015
Phone number: 941-773-1789
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