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1164781381
STACY ELAINE NEUDORF
LUBBOCK, TX
NPI
1164781381
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Former Name
STACY ELAINE ALLEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA10708)
Enumeration Date
2012-05-08
Last Update Date
2016-10-18
Business Address
-- STACY ELAINE NEUDORF PA-C
4015 22ND PL
LUBBOCK, TX 79410-1119
Phone number: 806-725-0030
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Mailing Address
-- STACY ELAINE NEUDORF PA-C
3420 22ND PL
LUBBOCK, TX 79410-1314
Phone number: 806-725-5844
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