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1851138077
STACEY BRIM
EDMOND, OK
NPI
1851138077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: OK 1994)
Enumeration Date
2024-07-15
Last Update Date
2024-07-15
Business Address
STACEY BRIM CMM
3809 NW 166TH ST STE 4
EDMOND, OK 73012-9281
Phone number: 405-204-8997
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Mailing Address
STACEY BRIM CMM
4401 LOMBARDY LN
OKLAHOMA CITY, OK 73112-2534
Phone number: 405-204-8997
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