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1912287418
STACEY B NANGLE
LAFAYETTE, IN
NPI
1912287418
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: IN 113309)
Enumeration Date
2011-08-29
Last Update Date
2011-08-29
Business Address
-- STACEY B NANGLE CST
1345 UNITY PL SUITE 235
LAFAYETTE, IN 47905-5760
Phone number: 765-446-5065
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Mailing Address
-- STACEY B NANGLE CST
PO BOX 4699
LAFAYETTE, IN 47903-4699
Phone number: 765-449-2732
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