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1760956312
STACY RAE KREGER
BROOKINGS, OR
NPI
1760956312
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Former Name
STACY RAE STITZEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: OR 201900396)
Enumeration Date
2019-01-16
Last Update Date
2024-01-03
Business Address
STACY RAE KREGER AGNP
524 SPRUCE ST STE 5
BROOKINGS, OR 97415-0407
Phone number: 541-813-1505
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Mailing Address
STACY RAE KREGER AGNP
PO BOX 488
BROOKINGS, OR 97415-0043
Phone number: 154-181-3150
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