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Individual

STACEY MARIE SHARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5968 COUNTY ROAD 3300, KEMPNER, TX 76539-3862
(254) 291-3618
Mailing address
5968 COUNTY ROAD 3300, KEMPNER, TX 76539-3862
(254) 291-3618

Taxonomy

Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
94760
TX

Other

Enumeration date
08/29/2018
Last updated
08/29/2018
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