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1508154881
STACEY LANA BAUGAARD
TROY, MI
NPI
1508154881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: PA OEG002515)
Enumeration Date
2011-07-20
Last Update Date
2011-07-20
Business Address
Dr. STACEY LANA BAUGAARD O.D
100 W BIG BEAVER RD SUITE 655
TROY, MI 48084-5206
Phone number: 419-874-0393
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Mailing Address
Dr. STACEY LANA BAUGAARD O.D
2001 HAMILTON ST PH 107
PHILADELPHIA, PA 19130-4201
Phone number: 267-615-1502
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