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1285720250
STACIE LYNN NELLIS
INDIO, CA
NPI
1285720250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA np16463)
Enumeration Date
2006-10-05
Last Update Date
2014-04-16
Business Address
Mrs. STACIE LYNN NELLIS FNP
80495 US HIGHWAY 111
INDIO, CA 92201-6534
Phone number: 760-347-2887
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Mailing Address
Mrs. STACIE LYNN NELLIS FNP
80495 US HIGHWAY 111
INDIO, CA 92201-6534
Phone number: 760-347-2887
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