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1083997456
STACY L FERNANDEZ-RODRIGUE
PHILADELPHIA, PA
NPI
1083997456
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: PA MT 200248)
Enumeration Date
2011-09-22
Last Update Date
2011-09-22
Business Address
-- STACY L FERNANDEZ-RODRIGUE MD
1316 W ONTARIO ST
PHILADELPHIA, PA 19140-5220
Phone number: 267-294-8410
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Mailing Address
-- STACY L FERNANDEZ-RODRIGUE MD
808 AUTUMN RIVER RUN
PHILADELPHIA, PA 19128-4360
Phone number: 504-460-6278
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