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1912663436
CHARLES EDWARD STACY
FRESNO, CA
NPI
1912663436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 282056)
Enumeration Date
2021-11-09
Last Update Date
2021-11-09
Business Address
CHARLES EDWARD STACY
1130 E MENLO AVE
FRESNO, CA 93710-4016
Phone number: 562-833-1632
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Mailing Address
CHARLES EDWARD STACY
1130 E MENLO AVE
FRESNO, CA 93710-4016
Phone number:
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