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1124470182
STACY FITCH
SOUTHAVEN, MS
NPI
1124470182
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PA1258)
Enumeration Date
2016-07-01
Last Update Date
2016-07-01
Business Address
STACY FITCH PTA
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
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Mailing Address
STACY FITCH PTA
83 AIRWAYS PL
SOUTHAVEN, MS 38671-5885
Phone number: 662-349-8787
Copy
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