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Individual

DR. STACEY HOBBICK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, MSN-ED, RN,

Contact information

Practice address
2865 DAGGETT AVE, KLAMATH FALLS, OR 97601-1106
(980) 328-4403
Mailing address
936 S FOREST CREEK DR, SAINT AUGUSTINE, FL 32092-0755
(980) 328-4403

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10030771
OR
163W00000X
Registered Nurse
95177865
CA

Other

Enumeration date
10/05/2023
Last updated
06/27/2025
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