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Individual
MRS. STACIE BROOKER
Active
Individual
MRS. STACIE BROOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN205526
GA
363LF0000X
Family Nurse Practitioner
Primary
RN205526
GA
Other
Enumeration date
04/07/2020
Last updated
01/24/2025
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