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Individual
STACEY L RODGERS
Active
Individual
STACEY L RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8856
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172876801
—
TX
Enumeration date
01/24/2006
Last updated
05/29/2020
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