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1548804206
STACEE LYDERS
TUCSON, AZ
NPI
1548804206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: AZ 228942)
Enumeration Date
2019-11-05
Last Update Date
2020-08-06
Business Address
STACEE LYDERS CPNP-PC
2222 N CRAYCROFT RD STE 150
TUCSON, AZ 85712-2816
Phone number: 520-202-3488
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Mailing Address
STACEE LYDERS CPNP-PC
5055 E BROADWAY BLVD STE A100
TUCSON, AZ 85711-3629
Phone number: 520-382-1085
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