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1649531112
STACEY LYN GREGORY
LONGVIEW, WA
NPI
1649531112
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WA ap61058632)
Enumeration Date
2012-05-31
Last Update Date
2022-03-23
Business Address
Ms. STACEY LYN GREGORY ARNP FNP
1718 E KESSLER BLVD
LONGVIEW, WA 98632-1842
Phone number: 360-747-5800
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Mailing Address
Ms. STACEY LYN GREGORY ARNP FNP
1338 COMMERCE AVE STE 206
LONGVIEW, WA 98632-3726
Phone number: 360-560-3801
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