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1265989982
STACEY AMANDA LYTLE
OKLAHOMA CITY, OK
NPI
1265989982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 102245)
Enumeration Date
2016-09-10
Last Update Date
2016-10-06
Business Address
-- STACEY AMANDA LYTLE APRN-CNP
4140 W MEMORIAL RD SUITE 215
OKLAHOMA CITY, OK 73120-8366
Phone number: 405-242-4030
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Mailing Address
-- STACEY AMANDA LYTLE APRN-CNP
4140 W MEMORIAL RD SUITE 215
OKLAHOMA CITY, OK 73120-8366
Phone number: 405-242-4030
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