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1114589207
STACEY RAE STUERTZ
FAIRMONT, NE
NPI
1114589207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 982)
Enumeration Date
2019-06-28
Last Update Date
2019-06-28
Business Address
STACEY RAE STUERTZ PTA
740 12TH AVE
FAIRMONT, NE 68354-9593
Phone number: 402-366-6950
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Mailing Address
STACEY RAE STUERTZ PTA
740 12TH AVE
FAIRMONT, NE 68354-9593
Phone number: 402-366-6950
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