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1396288734
STACY LEE KENNIGSEDER
FORT SMITH, AR
NPI
1396288734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WC0200X Registered Nurse, Critical Care Medicine
(Licence: AR R094022)
Enumeration Date
2016-12-01
Last Update Date
2016-12-01
Business Address
Ms. STACY LEE KENNIGSEDER R.N.
5 SALOME ST
FORT SMITH, AR 72901-6546
Phone number: 479-414-4779
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Mailing Address
Ms. STACY LEE KENNIGSEDER R.N.
5 SALOME ST
FORT SMITH, AR 72901-6546
Phone number: 479-414-4779
Copy
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