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1851677975
STACY KOCH
TROY, NY
NPI
1851677975
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: NY 206566)
Enumeration Date
2011-11-03
Last Update Date
2011-11-03
Business Address
-- STACY KOCH
1 CONWAY CT
TROY, NY 12180-2108
Phone number: 518-274-6525
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Mailing Address
-- STACY KOCH
80 GARNER RD APT C-4
AVERILL PARK, NY 12018-9509
Phone number: 518-274-6525
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