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1629328000
STACEY LYNN KLONTZ
SEATTLE, WA
NPI
1629328000
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Former Name
STACEY LYNN WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WA AP60302031)
Enumeration Date
2012-09-13
Last Update Date
2012-09-13
Business Address
-- STACEY LYNN KLONTZ MN, ARNP
4800 SAND POINT WAY NE M/S 103 CCMS
SEATTLE, WA 98105-3901
Phone number: 206-987-6700
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Mailing Address
-- STACEY LYNN KLONTZ MN, ARNP
4800 SAND POINT WAY NE M/S 103 CCMS
SEATTLE, WA 98105-3901
Phone number:
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