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1932719101
STACEY L MILLER
ELMIRA, NY
NPI
1932719101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY F403088-01)
Enumeration Date
2020-08-03
Last Update Date
2024-01-19
Business Address
STACEY L MILLER PMHNP-BC
1019 E WATER ST
ELMIRA, NY 14901-3332
Phone number: 607-733-5696
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Mailing Address
STACEY L MILLER PMHNP-BC
415 CHRISTIAN HOLLOW RD
PINE CITY, NY 14871-9604
Phone number: 607-738-4244
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