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1346870268
STACCEY BASCUE
EASLEY, SC
NPI
1346870268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 23273)
Enumeration Date
2020-01-20
Last Update Date
2022-11-24
Business Address
STACCEY BASCUE NP
105 FRANKLIN SQUARE WAY STE A
EASLEY, SC 29642-3715
Phone number: 864-442-4110
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Mailing Address
STACCEY BASCUE NP
105 FRANKLIN SQUARE WAY STE A
EASLEY, SC 29642-3715
Phone number: 864-442-4110
Copy
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