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1487615787
STACEY B. FAZENBAKER
OWENSBORO, KY
NPI
1487615787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: KY 35999)
Enumeration Date
2006-03-28
Last Update Date
2022-03-03
Business Address
STACEY B. FAZENBAKER M. D.
3333 FREDERICA ST STE 5
OWENSBORO, KY 42301-6085
Phone number: 270-297-9075
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Mailing Address
STACEY B. FAZENBAKER M. D.
PO BOX 3276
EVANSVILLE, IN 47731-3276
Phone number: 812-473-0181
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