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1649508078
STACEY KING
SANTA FE, NM
NPI
1649508078
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NM CNP-01546)
Enumeration Date
2009-11-23
Last Update Date
2012-08-14
Business Address
STACEY KING CFNP
1630 HOSPITAL DR SUITE D
SANTA FE, NM 87505-4772
Phone number: 505-982-3534
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Mailing Address
STACEY KING CFNP
1630 HOSPITAL DR SUITE D
SANTA FE, NM 87505-4772
Phone number: 505-982-3534
Copy
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