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1265103394
STEPHANIE LYNN VICKERS
RAVENSWOOD, WV
NPI
1265103394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 110905)
Enumeration Date
2021-09-28
Last Update Date
2023-03-20
Business Address
STEPHANIE LYNN VICKERS RN
606 WASHINGTON ST
RAVENSWOOD, WV 26164-1730
Phone number: 304-273-1033
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Mailing Address
STEPHANIE LYNN VICKERS RN
606 WASHINGTON ST
RAVENSWOOD, WV 26164-1730
Phone number: 304-273-1033
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