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Individual

MS. STACEY NICOLE LARKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDH, OMT

Contact information

Practice address
1022 W GARRISON ST, CARTHAGE, TX 75633-2207
(817) 235-2737
Mailing address
1022 W GARRISON ST, CARTHAGE, TX 75633-2207
(817) 235-2737

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
12158
TX

Other

Enumeration date
09/09/2022
Last updated
09/09/2022
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