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1629428891
STACY KNOWLES
SPRINGFIELD, OR
NPI
1629428891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OR 201603472LPN)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
-- STACY KNOWLES LPN
2630 WAYSIDE LN
SPRINGFIELD, OR 97477-1324
Phone number: 402-875-0792
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Mailing Address
-- STACY KNOWLES LPN
2630 WAYSIDE LN
SPRINGFIELD, OR 97477-1324
Phone number: 402-875-0792
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