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1700317591
JACK ROBERT STACEY
OCEANSIDE, CA
NPI
1700317591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: VA 0101271348)
Enumeration Date
2017-03-23
Last Update Date
2023-06-23
Business Address
Dr. JACK ROBERT STACEY M.D.
200 MERCY CIRCLE
OCEANSIDE, CA 92055
Phone number: 760-725-1288
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Mailing Address
Dr. JACK ROBERT STACEY M.D.
2616 CABRILLO PL
CARLSBAD, CA 92008-1436
Phone number: 321-278-3667
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