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1134802457
STACEY EDDIE ALLEN
BERKELEY, CA
NPI
1134802457
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 95145712)
Enumeration Date
2023-08-11
Last Update Date
2023-08-11
Business Address
STACEY EDDIE ALLEN
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 510-642-3188
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Mailing Address
STACEY EDDIE ALLEN
2222 BANCROFT WAY
BERKELEY, CA 94720-4301
Phone number: 225-588-0076
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