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1245542786
STACY ELLETT
JACKSONVILLE, AL
NPI
1245542786
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: AL 2037893)
Enumeration Date
2010-07-13
Last Update Date
2010-07-13
Business Address
-- STACY ELLETT LPN
323 CHURCH AVE NE
JACKSONVILLE, AL 36265-1868
Phone number: 256-365-2374
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Mailing Address
-- STACY ELLETT LPN
323 CHURCH AVE NE
JACKSONVILLE, AL 36265-1868
Phone number: 256-365-2374
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