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1912087214
STACEY MARIE BROWN
WETUMPKA, AL
NPI
1912087214
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: AL PA252)
Enumeration Date
2006-10-17
Last Update Date
2007-07-08
Business Address
Prof. STACEY MARIE BROWN PAC
73888 TALLASSEE HWY
WETUMPKA, AL 36092-7308
Phone number: 334-567-6579
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Mailing Address
Prof. STACEY MARIE BROWN PAC
PO BOX 1290
WETUMPKA, AL 36092-0022
Phone number: 334-567-6579
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