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1760957195
STACEY LYNNE MAYBERRY
SACRAMENTO, CA
NPI
1760957195
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA VN204187)
Enumeration Date
2018-10-12
Last Update Date
2018-10-12
Business Address
STACEY LYNNE MAYBERRY
310 HARRIS AVE
SACRAMENTO, CA 95838-3249
Phone number: 916-649-6793
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Mailing Address
STACEY LYNNE MAYBERRY
310 HARRIS AVE STE A
SACRAMENTO, CA 95838-3249
Phone number:
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