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1326534728
STACIE BEVILL
KIRKSVILLE, MO
NPI
1326534728
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: MO 2018024366)
Enumeration Date
2018-07-09
Last Update Date
2018-07-09
Business Address
STACIE BEVILL PNP
402 W JEFFERSON ST
KIRKSVILLE, MO 63501-3407
Phone number: 660-627-2229
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Mailing Address
STACIE BEVILL PNP
1416 CROWN DR
KIRKSVILLE, MO 63501-2548
Phone number: 660-627-5757
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