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1093900409
STACEY DRAKE RICHARDSON
MIAMI, FL
NPI
1093900409
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 23325)
Enumeration Date
2007-09-10
Last Update Date
2007-09-10
Business Address
Mrs. STACEY DRAKE RICHARDSON P.T.
8603 S DIXIE HWY STE 308
MIAMI, FL 33143-7829
Phone number: 305-661-1443
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Mailing Address
Mrs. STACEY DRAKE RICHARDSON P.T.
7695 SW 155TH ST
VILLAGE OF PALMETTO BAY, FL 33157-2480
Phone number: 786-242-8034
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