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1154167948
STACIE DESALE
MIAMI, FL
NPI
1154167948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: FL PA9118501)
Enumeration Date
2024-07-02
Last Update Date
2024-07-25
Business Address
STACIE DESALE PA-C
8950 N KENDALL DR STE 600W
MIAMI, FL 33176-2144
Phone number: 786-596-1230
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Mailing Address
STACIE DESALE PA-C
PO BOX 198054
ATLANTA, GA 30384-8054
Phone number:
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