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1427089333
STACEY R. ANDERSON
LAWRENCE, KS
NPI
1427089333
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Former Name
STACEY R. BRISCO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: KS 1500562)
Enumeration Date
2006-07-06
Last Update Date
2007-07-08
Business Address
Ms. STACEY R. ANDERSON P.A.-C
4921 W 18TH ST
LAWRENCE, KS 66047-2090
Phone number: 785-830-0100
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Mailing Address
Ms. STACEY R. ANDERSON P.A.-C
PO BOX 3425
LAWRENCE, KS 66046-0425
Phone number: 785-830-0100
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