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1841444098
STACY LOUISE FAGAN
OKLAHOMA CITY, OK
NPI
1841444098
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OK 1779)
Enumeration Date
2008-11-13
Last Update Date
2011-02-09
Business Address
Ms. STACY LOUISE FAGAN P.A.
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107-1035
Phone number: 405-605-5415
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Mailing Address
Ms. STACY LOUISE FAGAN P.A.
2512 N MERIDIAN AVE
OKLAHOMA CITY, OK 73107-1035
Phone number: 405-605-5415
Copy
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