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1013205541
STACEY SMITH
COLORADO SPRINGS, CO
NPI
1013205541
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CO 3249)
Enumeration Date
2011-07-19
Last Update Date
2011-07-19
Business Address
-- STACEY SMITH PA-C
8115 VOYAGER PKWY
COLORADO SPRINGS, CO 80920-1562
Phone number: 719-203-3300
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Mailing Address
-- STACEY SMITH PA-C
2362 LEDGEWOOD DR
COLORADO SPRINGS, CO 80921-7010
Phone number:
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