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1275054322
STACIE MARIE RYDELL
SAN ANTONIO, TX
NPI
1275054322
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA11555)
Enumeration Date
2017-06-29
Last Update Date
2022-02-16
Business Address
STACIE MARIE RYDELL PA-C
8906 PERRIN BEITEL
SAN ANTONIO, TX 78217
Phone number: 210-572-3306
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Mailing Address
STACIE MARIE RYDELL PA-C
2961 MOSSROCK
SAN ANTONIO, TX 78230-5119
Phone number: 210-731-4800
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