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1144577438
STACEY RODGERS
NEPTUNE, NJ
NPI
1144577438
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Former Name
STACEY RUSSELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: NJ 26NJ00389400)
Enumeration Date
2012-08-06
Last Update Date
2023-05-11
Business Address
STACEY RODGERS APN-C
1945 ROUTE 33
NEPTUNE, NJ 07753-4859
Phone number: 732-776-4618
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Mailing Address
STACEY RODGERS APN-C
3600 ROUTE 66 FL 3
NEPTUNE, NJ 07753-2645
Phone number: 732-807-0877
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