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1508313180
STACEY LYNN PARADISE
FORT WALTON BEACH, FL
NPI
1508313180
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP9336344)
Enumeration Date
2016-09-01
Last Update Date
2017-01-17
Business Address
-- STACEY LYNN PARADISE ARNP
1005 MAR WALT DRIVE CARE COORDINATION DEPARTMENT
FORT WALTON BEACH, FL 32547-6796
Phone number: 850-863-8202
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Mailing Address
-- STACEY LYNN PARADISE ARNP
1005 MAR WALT DRIVE CARE COORDINATION DEPARTMENT
FORT WALTON BEACH, FL 32547-6796
Phone number: 850-863-8202
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