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1891145165
STACY LANE
OXFORD, MS
NPI
1891145165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: MS 320887)
Enumeration Date
2016-06-17
Last Update Date
2016-06-17
Business Address
STACY LANE LPN
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
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Mailing Address
STACY LANE LPN
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Copy
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