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1104222124
STACEY MARIE SHOOP
SANTA ANA, CA
NPI
1104222124
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA52143)
Enumeration Date
2014-11-19
Last Update Date
2024-07-24
Business Address
Mrs. STACEY MARIE SHOOP M.D.
2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704-5718
Phone number: 714-754-1684
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Mailing Address
Mrs. STACEY MARIE SHOOP M.D.
2621 S BRISTOL ST STE 108
SANTA ANA, CA 92704-5718
Phone number: 714-754-1684
Copy
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