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Individual
STACI MARIE CLABOUGH
Active
Individual
STACI MARIE CLABOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.428259
IL
363LF0000X
Family Nurse Practitioner
Primary
344145
NY
363LF0000X
Family Nurse Practitioner
95017721
CA
Other
Enumeration date
03/04/2019
Last updated
05/08/2024
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