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1871563981
STACEY LYNN COLLINS
JOHNSON CITY, TN
NPI
1871563981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TN 11024)
Enumeration Date
2006-01-23
Last Update Date
2013-08-28
Business Address
-- STACEY LYNN COLLINS APN
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 423-282-1480
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Mailing Address
-- STACEY LYNN COLLINS APN
119 BOONE RIDGE DR SUITE 201
JOHNSON CITY, TN 37615-4998
Phone number: 423-282-1480
Copy
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