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1962800649
STACEY ALENA MOODY
VIRGINIA BEACH, VA
NPI
1962800649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-004666)
Enumeration Date
2014-12-12
Last Update Date
2014-12-12
Business Address
Ms. STACEY ALENA MOODY MPA, PA-C
4092 FOXWOOD DR SUITE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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Mailing Address
Ms. STACEY ALENA MOODY MPA, PA-C
4092 FOXWOOD DR SUITE 101
VIRGINIA BEACH, VA 23462-5225
Phone number: 757-467-4200
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