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1710398573
STACIE LYNN KIPP
FT CARSON, CO
NPI
1710398573
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: CO APN.0991051)
Enumeration Date
2014-05-14
Last Update Date
2024-01-22
Business Address
STACIE LYNN KIPP FNP
EVANS ARMY COMMUNITY HOSPITAL, 1650 CIR B7500
FT CARSON, CO 80913
Phone number: 719-524-4737
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Mailing Address
STACIE LYNN KIPP FNP
5480 SAMPLE WAY
COLORADO SPRINGS, CO 80919-2491
Phone number: 719-338-8686
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