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1114057791
STACY SMITH
COVINA, CA
NPI
1114057791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-06
Last Update Date
2013-06-25
Business Address
-- STACY SMITH
1411 N GRAND AVE 100
COVINA, CA 91724-1001
Phone number: 626-395-7100
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Mailing Address
-- STACY SMITH
1411 N GRAND AVE 100
COVINA, CA 91724-1001
Phone number:
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