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Individual
STACI DECKER
Active
Individual
STACI DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009110
KY
363LF0000X
Family Nurse Practitioner
Primary
3009110
KY
Other
Enumeration date
12/22/2015
Last updated
06/01/2020
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