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1639309461
STACY R. MORETTA
IRVING, TX
NPI
1639309461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: TX PA06061)
Enumeration Date
2009-07-14
Last Update Date
2018-08-24
Business Address
STACY R. MORETTA P.A.
6161 N STATE HIGHWAY 161
IRVING, TX 75038
Phone number: 972-258-7499
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Mailing Address
STACY R. MORETTA P.A.
6161 N STATE HIGHWAY 161
IRVING, TX 75038-2220
Phone number: 972-258-7499
Copy
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