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1891336319
TARA MARIE STACY
SEVIERVILLE, TN
NPI
1891336319
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TN APN0000026102)
Enumeration Date
2019-10-06
Last Update Date
2019-10-06
Business Address
-- TARA MARIE STACY NP-C
1360 DOLLY PARTON PKWY
SEVIERVILLE, TN 37862-3715
Phone number: 865-429-0921
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Mailing Address
-- TARA MARIE STACY NP-C
324 BELMONT DR
BRISTOL, TN 37620-4926
Phone number: 423-646-0002
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