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1477919074
STACI OWEN
MARYVILLE, TN
NPI
1477919074
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TN 2948)
Enumeration Date
2016-01-12
Last Update Date
2018-12-11
Business Address
STACI OWEN PA
701 MORGANTON SQUARE DR
MARYVILLE, TN 37801-4796
Phone number: 865-984-6823
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Mailing Address
STACI OWEN PA
1225 E WEISGARBER RD SUITE 200
KNOXVILLE, TN 37909-2604
Phone number: 865-584-4747
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