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1952811259
STACEY HERRING
WASHINGTON, IL
NPI
1952811259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209016702)
Enumeration Date
2017-10-02
Last Update Date
2017-10-02
Business Address
STACEY HERRING
201 N CUMMINGS LN
WASHINGTON, IL 61571-2181
Phone number: 309-444-3627
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Mailing Address
STACEY HERRING
PO BOX 369
WASHINGTON, IL 61571-0369
Phone number: 309-444-3627
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