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1942714159
STACY MOORE
FAIRBANKS, AK
NPI
1942714159
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2017-11-27
Last Update Date
2017-11-27
Business Address
STACY MOORE
1717 W COWLES ST
FAIRBANKS, AK 99701-5926
Phone number: 907-451-6682
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Mailing Address
STACY MOORE
PO BOX 94429
SEATTLE, WA 98124-6729
Phone number: 907-451-6682
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