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Stacy Dejong Barnes

NPI 1588167100 · on the registry since 2018 · sole proprietor

Practice

Address
1812 2nd St Sw Ste E
Rochester, MN 55902
Phone
(507) 884-2041
Organisation at this address
Crystal Dental Clinic Llc
Phoenix Healing Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota