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Individual

MRS. DAWN MARIE STUCKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MED, ATC, LAT

Contact information

Practice address
6100 MAIN ST # MS -548, HOUSTON, TX 77005-1827
(713) 348-5410
(713) 348-5621
Mailing address
6100 MAIN ST # MS -548, HOUSTON, TX 77005-1827
(713) 348-5410
(713) 348-5621

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
AT2698
TX

Other

Enumeration date
03/31/2016
Last updated
03/31/2016
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