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1871314674
STACEY DEE GENTRY
CLEARLAKE, CA
NPI
1871314674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-10-23
Last Update Date
2024-10-23
Business Address
STACEY DEE GENTRY
7000B S CENTER DR
CLEARLAKE, CA 95422-8131
Phone number: 707-274-9101
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Mailing Address
STACEY DEE GENTRY
15125 LAKEVIEW WAY
CLEARLAKE, CA 95422-8135
Phone number: 707-245-1131
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