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Individual
STACEY L PERRY
Active
Individual
STACEY L PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO00000740
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0196190
L & I
WA
05
—
8423576
—
WA
01
—
8905952
CRIME VICTIMS
WA
01
—
P00354461
RAILROAD
WA
Enumeration date
08/05/2006
Last updated
10/05/2015
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