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1053541508
STACY LEE BRANTLEY
SOLDOTNA, AK
NPI
1053541508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AK 1398)
Enumeration Date
2009-07-17
Last Update Date
2009-07-17
Business Address
Mrs. STACY LEE BRANTLEY MPT
35551 KENAI SPUR HWY
SOLDOTNA, AK 99669-7625
Phone number: 907-714-4534
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Mailing Address
Mrs. STACY LEE BRANTLEY MPT
250 HOSPITAL PL
SOLDOTNA, AK 99669-7559
Phone number: 907-714-4534
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