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1053599324
STACEY STOWALL MCCUSKER
CHICAGO, IL
NPI
1053599324
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070012438)
Enumeration Date
2008-02-08
Last Update Date
2008-02-08
Business Address
-- STACEY STOWALL MCCUSKER
345 E SUPERIOR ST
CHICAGO, IL 60611-2654
Phone number: 312-238-8014
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Mailing Address
-- STACEY STOWALL MCCUSKER
811 W ALDINE AVE #2-S
CHICAGO, IL 60657-2315
Phone number: 773-871-8068
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