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Individual
STACEY M MCINTYRE
Active
Individual
STACEY M MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
202110746RN
OR
163W00000X
Registered Nurse
RN61283884
WA
Other
Enumeration date
07/19/2022
Last updated
01/30/2023
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