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Individual
STACIA S MUNN
Active
Individual
STACIA S MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M-10171
ID
207Q00000X
Family Medicine Physician
MR-0870
ID
Other
Enumeration date
07/08/2006
Last updated
04/21/2021
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