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1720567779
STACEY JACKS
SAN ANTONIO, TX
NPI
1720567779
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: TX 892728)
Enumeration Date
2018-08-10
Last Update Date
2018-08-10
Business Address
STACEY JACKS RN
8700 CROWNHILL BLVD STE 300
SAN ANTONIO, TX 78209-1128
Phone number: 210-824-5530
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Mailing Address
STACEY JACKS RN
8700 CROWNHILL BLVD STE 300
SAN ANTONIO, TX 78209-1128
Phone number:
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