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1255673703
STACY MARIE FAIRLEY
SAN JOSE, CA
NPI
1255673703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: CA 21687)
Enumeration Date
2013-03-22
Last Update Date
2013-03-22
Business Address
Mrs. STACY MARIE FAIRLEY ACNP
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number: 408-972-7000
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Mailing Address
Mrs. STACY MARIE FAIRLEY ACNP
250 HOSPITAL PKWY
SAN JOSE, CA 95119-1103
Phone number:
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