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1497706071
VINCE J STACK
SALIDA, CO
NPI
1497706071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CO 46814)
Enumeration Date
2006-05-16
Last Update Date
2023-02-03
Business Address
Dr. VINCE J STACK M.D.
530 W 16TH ST
SALIDA, CO 81201-2240
Phone number: 719-539-6112
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Mailing Address
Dr. VINCE J STACK M.D.
PO BOX 2153 DEPT 40339
BIRMINGHAM, AL 35287-9387
Phone number: 423-310-1642
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