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1538593470
STACY R WRIGHT
MOUNT VERNON, IL
NPI
1538593470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209010682)
Enumeration Date
2013-08-28
Last Update Date
2020-10-21
Business Address
STACY R WRIGHT FNP
5 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864-2402
Phone number: 618-899-1264
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Mailing Address
STACY R WRIGHT FNP
PO BOX 955860
SAINT LOUIS, MO 63195-3056
Phone number: 636-498-5944
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