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1811379639
STACEY HUBBARD
JOHNSON CITY, TN
NPI
1811379639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: MS R862145)
Enumeration Date
2015-06-29
Last Update Date
2016-09-22
Business Address
-- STACEY HUBBARD FNP
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 865-673-6741
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Mailing Address
-- STACEY HUBBARD FNP
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 865-673-6741
Copy
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