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1104028901
STACEY BARROS
OAKLAND, CA
NPI
1104028901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- STACEY BARROS
2648 INTERNATIONAL BLVD
OAKLAND, CA 94601-1506
Phone number: 510-903-7504
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Mailing Address
-- STACEY BARROS
1315 66TH ST
BERKELEY, CA 94702-2617
Phone number: 510-903-7504
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