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1023129129
STACY RANAE CALLOW
MINERAL WELLS, WV
NPI
1023129129
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Former Name
STACY RANAE BUCHANAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002524)
Enumeration Date
2006-08-31
Last Update Date
2012-04-04
Business Address
-- STACY RANAE CALLOW DPT, OCS
63 HOSPITALITY LN SUITE 1
MINERAL WELLS, WV 26150-6704
Phone number: 304-489-8100
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Mailing Address
-- STACY RANAE CALLOW DPT, OCS
1212 GARFIELD AVE SUITE 200
PARKERSBURG, WV 26101-3247
Phone number: 304-865-6778
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