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1730858093
STACEY LEE INGALLS
SAN DIEGO, CA
NPI
1730858093
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: CA 530683)
Enumeration Date
2021-09-09
Last Update Date
2021-09-09
Business Address
STACEY LEE INGALLS
5837 HABER ST
SAN DIEGO, CA 92122-3135
Phone number: 619-990-5466
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Mailing Address
STACEY LEE INGALLS
5837 HABER ST
SAN DIEGO, CA 92122-3135
Phone number: 619-990-5466
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