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1588043509
STACY SAN LUCAS
HOUSTON, TX
NPI
1588043509
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: TX AP128123)
Enumeration Date
2015-05-22
Last Update Date
2015-05-22
Business Address
-- STACY SAN LUCAS AGACNP
6565 FANNIN ST
HOUSTON, TX 77030-2703
Phone number: 713-441-3030
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Mailing Address
-- STACY SAN LUCAS AGACNP
6565 FANNIN ST
HOUSTON, TX 77030-2703
Phone number: 713-441-3030
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