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Individual

KACIE B STANCIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1007 N 6TH ST, ALBEMARLE, NC 28001-3551
(704) 982-8410
Mailing address
360 SUNSET AVE, ASHEBORO, NC 27203-5612
(336) 625-8410

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5011264
NC

Other

Enumeration date
12/05/2018
Last updated
12/05/2018
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