STACY POWELL

WESTMONT, IL
NPI1780943746
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209009372)
Enumeration Date2012-05-11
Last Update Date2012-05-11
Business Address
STACY POWELL APN
1 E OGDEN AVE
WESTMONT, IL 60559-1339
Phone number: 866-825-3227
Mailing Address
STACY POWELL APN
161 WASHINGTON ST FL 14 EIGHT TOWER BRIDGE, SUITE 1400
CONSHOHOCKEN, PA 19428-2083
Phone number: 866-825-3227
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