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1740865914
STACY KELLUM
ONEILL, NE
NPI
1740865914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NE 113220)
Enumeration Date
2021-03-10
Last Update Date
2021-03-10
Business Address
STACY KELLUM FNP-C
527 N 5TH ST
ONEILL, NE 68763-1327
Phone number: 402-540-1804
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Mailing Address
STACY KELLUM FNP-C
527 N 5TH ST
ONEILL, NE 68763-1327
Phone number: 402-540-1804
Copy
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