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1366148264
STACEY ALLEN
DETROIT, MI
NPI
1366148264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: MI 4704286180)
Enumeration Date
2023-02-01
Last Update Date
2023-02-01
Business Address
STACEY ALLEN NP
4646 JOHN R ST
DETROIT, MI 48201-1916
Phone number: 586-588-1489
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Mailing Address
STACEY ALLEN NP
52688 SABLE DR
MACOMB, MI 48042-3567
Phone number: 586-588-1489
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