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1396467353
STACEY NICKELL
LEWISBURG, WV
NPI
1396467353
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 78717)
Enumeration Date
2022-09-16
Last Update Date
2022-09-16
Business Address
STACEY NICKELL RN
10434 SENECA TRL S
LEWISBURG, WV 24901-1586
Phone number: 304-645-1706
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Mailing Address
STACEY NICKELL RN
499 OTTER CREEK RD
CRAWLEY, WV 24931-9723
Phone number: 304-661-1416
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