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1992937460
STACEY ROSS
SAN DIEGO, CA
NPI
1992937460
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: CA 497900)
Enumeration Date
2009-08-18
Last Update Date
2009-08-18
Business Address
-- STACEY ROSS N.P.
1940 5TH AVE STE 200
SAN DIEGO, CA 92101-2364
Phone number: 619-683-2820
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Mailing Address
-- STACEY ROSS N.P.
1940 5TH AVE STE 200
SAN DIEGO, CA 92101-2364
Phone number: 619-683-2820
Copy
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