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1376848275
STACIE PARKER
GREENVILLE, SC
NPI
1376848275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: SC 17539)
Enumeration Date
2011-01-24
Last Update Date
2011-08-23
Business Address
-- STACIE PARKER
701 GROVE RD
GREENVILLE, SC 29605-5611
Phone number: 864-458-8544
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Mailing Address
-- STACIE PARKER
315 CRESTHAVEN PL
SIMPSONVILLE, SC 29681-4854
Phone number:
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