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Organization
STAPLES HEALTH CLINIC, LLC
Active
Organization
STAPLES HEALTH CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACIA STAPLES APRN (OWNER)
(270) 438-3474
Entity
Organization
Contact information
Practice address
104 E MAIN ST, AUBURN, KY 42206-5106
(270) 438-3474
Mailing address
PO BOX 66, AUBURN, KY 42206-0066
(270) 438-3474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3005699
KY
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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