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1669422341
STACIE S LAVIANO
BROOKSVILLE, FL
NPI
1669422341
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL arnp2857552)
Enumeration Date
2006-05-11
Last Update Date
2012-03-30
Business Address
Mrs. STACIE S LAVIANO ARNP
12220 CORTEZ BLVD
BROOKSVILLE, FL 34613-2631
Phone number: 352-683-1982
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Mailing Address
Mrs. STACIE S LAVIANO ARNP
12220 CORTEZ BLVD
BROOKSVILLE, FL 34613-2631
Phone number: 352-683-1982
Copy
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