Individual
STACY JO COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 SAINT PATRICK AVE, GRAND ISLAND, NE 68803-1308
(308) 379-8294
Mailing address
2627 SAINT PATRICK AVE, GRAND ISLAND, NE 68803-1308
(308) 379-8294
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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