Individual
SALLY D STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2742 45TH ST, CLIO, IA 50052-8730
(641) 876-2650
Mailing address
2742 45TH ST, CLIO, IA 50052-8730
(641) 876-2650
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A064481
IA
Other
Enumeration date
10/02/2006
Last updated
11/23/2015
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