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1588158976
STACEY ERIN TAYLOR
EVERETT, WA
NPI
1588158976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA LP60458060)
Enumeration Date
2018-06-19
Last Update Date
2018-06-19
Business Address
STACEY ERIN TAYLOR LPN
3322 BROADWAY
EVERETT, WA 98201-4425
Phone number: 360-996-4487
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Mailing Address
STACEY ERIN TAYLOR LPN
PO BOX 4384
TUMWATER, WA 98501-0384
Phone number:
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