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1063807501
STACY FARLEY
SAN ANTONIO, TX
NPI
1063807501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: TX AP126529)
Enumeration Date
2015-04-01
Last Update Date
2015-10-19
Business Address
-- STACY FARLEY M.S.N., A.P.R.N.
5107 MEDICAL DR
SAN ANTONIO, TX 78229-4801
Phone number: 210-614-8612
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Mailing Address
-- STACY FARLEY M.S.N., A.P.R.N.
5107 MEDICAL DR
SAN ANTONIO, TX 78229-4801
Phone number: 210-614-8612
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