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1932438751
STACY GAIL ETTINGER
DALLAS, TX
NPI
1932438751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX 696355)
Enumeration Date
2009-12-08
Last Update Date
2010-09-22
Business Address
-- STACY GAIL ETTINGER CPNP
1935 MEDICAL DISTRICT DR CENTER FOR CANCER AND BLOOD DISORDERS
DALLAS, TX 75235-7701
Phone number: 214-456-3214
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Mailing Address
-- STACY GAIL ETTINGER CPNP
3019 THOMAS AVE APT 1402
DALLAS, TX 75204-2814
Phone number: 214-456-3214
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