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1265971170
STACIA VASSELL
TAMARAC, FL
NPI
1265971170
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: FL 9281044)
Enumeration Date
2017-02-13
Last Update Date
2017-02-14
Business Address
-- STACIA VASSELL
4940 NW 57TH CT
TAMARAC, FL 33319-2304
Phone number: 954-786-6860
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Mailing Address
-- STACIA VASSELL
4940 NW 57TH CT
TAMARAC, FL 33319-2304
Phone number:
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