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1760950547
STACEY L HALL
LEBANON, TN
NPI
1760950547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN 24130)
Enumeration Date
2018-11-09
Last Update Date
2018-11-09
Business Address
STACEY L HALL NP
1420 W BADDOUR PKWY STE 100
LEBANON, TN 37087-1510
Phone number: 615-443-0202
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Mailing Address
STACEY L HALL NP
2801 CHARLOTTE AVE
NASHVILLE, TN 37209-4035
Phone number: 615-250-9200
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