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1063629368
PETER STASICA
SAINT PAUL, MN
NPI
1063629368
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- PETER STASICA
2200 UNIVERSITY AVE W #114
SAINT PAUL, MN 55114-1839
Phone number: 651-644-5800
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Mailing Address
-- PETER STASICA
1320 103RD LN NW
COON RAPIDS, MN 55433-7115
Phone number:
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