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1801122833
LISA D STACKS
KENNETT, MO
NPI
1801122833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2009-10-27
Last Update Date
2009-10-27
Business Address
LISA D STACKS PSR TECH
925 STATE HWY VV
KENNETT, MO 63857
Phone number: 573-888-5925
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Mailing Address
LISA D STACKS PSR TECH
925 STATE HWY VV PO BOX 71
KENNETT, MO 63857
Phone number: 573-888-5925
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