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Individual
MRS. STACIA FRAZEE
Active
Individual
MRS. STACIA FRAZEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
28216946A
IN
363LF0000X
Family Nurse Practitioner
Primary
71013306A
IN
Other
Enumeration date
01/18/2022
Last updated
12/07/2022
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