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1932715778
CAROLE A STACY
LANSING, MI
NPI
1932715778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse Addiction (Substance Use Disorder)
(Licence: MI 4704080504)
Enumeration Date
2020-09-17
Last Update Date
2020-09-17
Business Address
CAROLE A STACY RN
2025 S WASHINGTON AVE
LANSING, MI 48910-0828
Phone number: 888-686-0749
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Mailing Address
CAROLE A STACY RN
10425 RIVER ROCK BLVD
DIMONDALE, MI 48821-8781
Phone number: 517-331-8668
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