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1649047143
STACY MICHELLE LISTER
GRIMES, IA
NPI
1649047143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A176205)
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
Miss STACY MICHELLE LISTER ARNP- FNP-C
101 SE DESTINATION DR
GRIMES, IA 50111-6608
Phone number: 515-986-4524
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Mailing Address
Miss STACY MICHELLE LISTER ARNP- FNP-C
101 SE DESTINATION DR
GRIMES, IA 50111-6608
Phone number: 515-986-4524
Copy
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