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1215215223
STACY SHELTON BROADDUS
EL PASO, TX
NPI
1215215223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: TX 5301741)
Enumeration Date
2011-07-25
Last Update Date
2011-07-25
Business Address
Mrs. STACY SHELTON BROADDUS NP, CNM
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-545-6490
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Mailing Address
Mrs. STACY SHELTON BROADDUS NP, CNM
4801 ALBERTA AVE
EL PASO, TX 79905-2707
Phone number: 915-545-6490
Copy
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