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1750873089
STACEY MICHELIN
CLARKSVILLE, TN
NPI
1750873089
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Former Name
STACEY BOOTHE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: TN 24149)
Enumeration Date
2018-06-01
Last Update Date
2022-06-28
Business Address
STACEY MICHELIN FNP-C
2269 WILMA RUDOLPH BLVD STE 106
CLARKSVILLE, TN 37040-8416
Phone number: 931-542-9010
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Mailing Address
STACEY MICHELIN FNP-C
2269 WILMA RUDOLPH BLVD STE 106
CLARKSVILLE, TN 37040-8416
Phone number: 931-542-9010
Copy
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