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1265661490
STACY LYNN CONGDON
JOHNSON CITY, NY
NPI
1265661490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NY 335984)
Enumeration Date
2009-07-09
Last Update Date
2009-11-23
Business Address
-- STACY LYNN CONGDON FNP
40 ARCH ST
JOHNSON CITY, NY 13790-2102
Phone number: 607-763-6092
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Mailing Address
-- STACY LYNN CONGDON FNP
346 GRAND AVE
JOHNSON CITY, NY 13790-2558
Phone number: 607-729-8156
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