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1366824179
STACY LAMAE VAN SAMBEEK
NEENAH, WI
NPI
1366824179
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Former Name
STACY LAMAE BACKEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3579)
Enumeration Date
2015-06-29
Last Update Date
2021-05-20
Business Address
STACY LAMAE VAN SAMBEEK PA
130 2ND ST
NEENAH, WI 54956-2883
Phone number: 920-725-0077
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Mailing Address
STACY LAMAE VAN SAMBEEK PA
PO BOX 8003
APPLETON, WI 54912-8003
Phone number: 920-996-3200
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