STACY LYNN FULLENKAMP

TROY, OH
NPI1427654615
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: OH  374U00000X)
Enumeration Date2020-12-11
Last Update Date2020-12-11
Business Address
STACY LYNN FULLENKAMP
1708 MARBY DR
TROY, OH 45373-9274
Phone number: 937-469-1858
Mailing Address
STACY LYNN FULLENKAMP
1708 MARBY DR
TROY, OH 45373-9274
Phone number: 937-469-1858
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