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1669213104
STACI FIOCK
COLLEYVILLE, TX
NPI
1669213104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: TX 1165940)
Enumeration Date
2024-06-06
Last Update Date
2024-10-14
Business Address
Mrs. STACI FIOCK AGACNP-BC
5009 HERITAGE AVE
COLLEYVILLE, TX 76034-5913
Phone number: 817-590-0880
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Mailing Address
Mrs. STACI FIOCK AGACNP-BC
5009 HERITAGE AVE
COLLEYVILLE, TX 76034-5913
Phone number: 817-590-0880
Copy
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