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1063758019
STACEY S GOODALE
SARASOTA, FL
NPI
1063758019
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Former Name
STACEY KAY SHEPPARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT13044)
Enumeration Date
2012-12-19
Last Update Date
2020-01-06
Business Address
Ms. STACEY S GOODALE PT
2970 UNIVERSITY PKWY STE 105
SARASOTA, FL 34243-2401
Phone number: 941-360-1988
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Mailing Address
Ms. STACEY S GOODALE PT
2970 UNIVERSITY PKWY STE 105
SARASOTA, FL 34243-2401
Phone number: 941-360-1988
Copy
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