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1689229080
STACY JO HUCK
WAVERLY, IA
NPI
1689229080
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Former Name
STACY JO WHITE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IA C155255)
Enumeration Date
2019-08-03
Last Update Date
2019-09-13
Business Address
STACY JO HUCK CPNP-PC, ARNP
312 9TH ST SW
WAVERLY, IA 50677-2929
Phone number: 319-352-4120
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Mailing Address
STACY JO HUCK CPNP-PC, ARNP
1139 130TH ST
PLAINFIELD, IA 50666-9652
Phone number:
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