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Individual

MS. STACEY L. PAULUS

Active
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Individual

MS. STACEY L. PAULUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
26NR10646600
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NR10646600
NJ

Other

Enumeration date
04/24/2007
Last updated
04/10/2024
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