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1629077144
STACEY CERVANTES
LAKE CITY, FL
NPI
1629077144
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL ARNP1477082)
Enumeration Date
2005-07-18
Last Update Date
2011-10-10
Business Address
Mrs. STACEY CERVANTES ARNP
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
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Mailing Address
Mrs. STACEY CERVANTES ARNP
1140 SW BASCOM NORRIS DR STE 104
LAKE CITY, FL 32025-1329
Phone number: 386-719-6500
Copy
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