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1982426698
STACEY S CLARK
SAN ANTONIO, TX
NPI
1982426698
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WP2201X Registered Nurse, Ambulatory Care
(Licence: KY 1077131)
Enumeration Date
2024-10-25
Last Update Date
2024-10-25
Business Address
Ms. STACEY S CLARK RN BSN
7400 MERTON MINTER ST
SAN ANTONIO, TX 78229-4404
Phone number: 210-986-2120
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Mailing Address
Ms. STACEY S CLARK RN BSN
104 TERRAVISTA TRL
VICTORIA, TX 77904-2815
Phone number: 210-986-2120
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