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1104390962
STACY BENNER
FREDERICK, MD
NPI
1104390962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 17310)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
STACY BENNER PT
350 MONTEVUE LN
FREDERICK, MD 21702-8214
Phone number: 301-600-3211
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Mailing Address
STACY BENNER PT
350 MONTEVUE LN
FREDERICK, MD 21702-8214
Phone number: 301-600-3211
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