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Stacey
Stacey
Sensor
Osteopathic physician
Gaylord, United States
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Florida Health Care Practitioner Data Portal
Full name
STACEY SENSOR
Job Title
Osteopathic Physician
Location
Gaylord, MI, USA
LIC ID
12510
Current License Expiration Date
31/03/2024
Original Date
04/03/2015
Professional Rank Code
OS
Effective Date
04/03/2015
Board Action Indicator
N
License Status Description
CLEAR
License Active Status Description
ACTIVE
Country Description
Out of State
Practice Location Address Line 1
829 N. Center Ave
Practice Location Address Line 2
SUITE 200
Practice Location Address City
GAYLORD
Practice Location Address State
MI
Practice Location Address Zipcode
49735
Mode Code
Dispensing Practitioner
Prescribing Indicator
N
Dispensing Indicator
Y
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