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1457998809
STACY LATHAM
SIKESTON, MO
NPI
1457998809
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MO 2019045345)
Enumeration Date
2019-12-04
Last Update Date
2023-04-20
Business Address
STACY LATHAM APRN, PMHNP-BC
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-7490
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Mailing Address
STACY LATHAM APRN, PMHNP-BC
1008 N MAIN ST
SIKESTON, MO 63801-5044
Phone number: 573-472-7490
Copy
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