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STACEY LYNNE BROWN RN

>> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1063682953

Individual Registrant:
 STACEY LYNNE BROWN RN
Gender: F
Sole Proprietor

Location and contact information for practice:
7852 W 600 N  MENDON, UT 84325-9706 US
Tel: 435-789-3865  Fax: 435-789-3895

Contact information for business:
146 E 100 N  LOGAN, UT 84321-4602 US
Tel: 435-789-3865  Fax: 435-789-3895

Registration Information:
NPI: 1063682953
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163W00000XNursing Service Providers
Registered Nurse
UT6164700-3102

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS UT - Page 1



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