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1467979229
STACY RENEE SCOTT
MENA, AR
NPI
1467979229
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Former Name
STACY RENEE GRIMM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KS 77803)
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
STACY RENEE SCOTT APRN
311 MORROW ST N
MENA, AR 71953-2516
Phone number: 479-394-6100
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Mailing Address
STACY RENEE SCOTT APRN
1316 JEFFERSON ST
SABETHA, KS 66534-1738
Phone number: 785-285-0261
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