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1508864497
STACEY COLLEEN LEVA
MICHIGAN CITY, IN
NPI
1508864497
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02002919)
Enumeration Date
2005-07-13
Last Update Date
2013-05-22
Business Address
-- STACEY COLLEEN LEVA DO
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360-6312
Phone number: 219-879-6531
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Mailing Address
-- STACEY COLLEEN LEVA DO
1225 E COOLSPRING AVE
MICHIGAN CITY, IN 46360-6312
Phone number: 219-879-6531
Copy
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