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PATRICIA STACEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
607 4TH ST, ELDORADO, IL 62930-1278
(618) 273-2951
Mailing address
4241 HIGHWAY 14 W, CHRISTOPHER, IL 62822-1037

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043071374
IL

Other

Enumeration date
08/27/2018
Last updated
08/27/2018
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