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1053558494
STACEY MICHELE PHILLIPS
FAYETTEVILLE, AR
NPI
1053558494
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: AR PT 2212)
Enumeration Date
2009-01-07
Last Update Date
2009-01-07
Business Address
-- STACEY MICHELE PHILLIPS MS, PT
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703-2813
Phone number: 479-582-2740
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Mailing Address
-- STACEY MICHELE PHILLIPS MS, PT
46 W COLT SQUARE DR
FAYETTEVILLE, AR 72703-2813
Phone number: 479-582-2740
Copy
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