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Individual
DR. SHANNON M STACY
Active
Individual
DR. SHANNON M STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A119069
CA
Other
Enumeration date
12/19/2006
Last updated
08/01/2014
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