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1588329502
KATELYN ROSE STACK
ALBANY, NY
NPI
1588329502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NY 348396)
Enumeration Date
2021-11-04
Last Update Date
2023-07-17
Business Address
KATELYN ROSE STACK FNP-BC
319 S MANNING BLVD STE 106
ALBANY, NY 12208-1743
Phone number: 518-438-1019
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Mailing Address
KATELYN ROSE STACK FNP-BC
PO BOX 14890
ALBANY, NY 12212-4890
Phone number:
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