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1518940691
STACEY SMITH
ALBUQUERQUE, NM
NPI
1518940691
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NM PA20030041)
Enumeration Date
2005-11-22
Last Update Date
2023-06-22
Business Address
STACEY SMITH
2400 TUCKER AVE NE
ALBUQUERQUE, NM 87131-0001
Phone number: 505-272-1734
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Mailing Address
STACEY SMITH
933 BRADBURY DR SE SUITE 2222
ALBUQUERQUE, NM 87106-4374
Phone number: 505-272-3120
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