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1780425223
STACY ROSE TOBACK
FRESNO, CA
NPI
1780425223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA 95343265)
Enumeration Date
2024-06-06
Last Update Date
2024-08-02
Business Address
STACY ROSE TOBACK
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
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Mailing Address
STACY ROSE TOBACK
4411 E KINGS CANYON RD
FRESNO, CA 93702-3604
Phone number: 559-453-1008
Copy
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