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1124703186
STACY PARKER
ODESSA, TX
NPI
1124703186
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LN0005X Nurse Practitioner, Neonatal, Critical Care
(Licence: TX 1051113)
Enumeration Date
2023-06-19
Last Update Date
2023-06-23
Business Address
STACY PARKER
701 W 5TH ST STE 2C30L
ODESSA, TX 79763-4206
Phone number: 432-620-1041
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Mailing Address
STACY PARKER
1045 RIVER RANCH DR
BANDERA, TX 78003-4879
Phone number: 318-780-0423
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