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1316389075
STACEY-ANN SOARES
MELBOURNE, FL
NPI
1316389075
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: FL 9407196)
Enumeration Date
2013-07-23
Last Update Date
2020-03-16
Business Address
STACEY-ANN SOARES APRN
1350 HICKORY ST
MELBOURNE, FL 32901-3224
Phone number: 321-434-1771
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Mailing Address
STACEY-ANN SOARES APRN
3300 S FISKE BLVD
ROCKLEDGE, FL 32955-4306
Phone number:
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