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1962014654
STACEY PHAM
PHILADELPHIA, PA
NPI
1962014654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: PA SP021571)
Enumeration Date
2020-08-23
Last Update Date
2020-08-23
Business Address
STACEY PHAM CRNP
3400 SPRUCE ST
PHILADELPHIA, PA 19104-4238
Phone number: 215-316-5151
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Mailing Address
STACEY PHAM CRNP
603 N AMERICAN ST APT 204
PHILADELPHIA, PA 19123-2961
Phone number:
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