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1447686373
CORY L STACEY
TULSA, OK
NPI
1447686373
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: OK 81571)
Enumeration Date
2013-09-24
Last Update Date
2013-09-24
Business Address
-- CORY L STACEY CRNA
1120 S UTICA AVE
TULSA, OK 74104-4012
Phone number: 800-939-7440
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Mailing Address
-- CORY L STACEY CRNA
6580 JUDSON RD
LONGVIEW, TX 75605-7076
Phone number: 903-663-3600
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