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1144520669
STACEY LYNN RUNKE
SOUTHFIELD, MI
NPI
1144520669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI L1829893)
Enumeration Date
2010-11-01
Last Update Date
2010-11-01
Business Address
Mrs. STACEY LYNN RUNKE MPT
24611 GREENFIELD RD
SOUTHFIELD, MI 48075-3035
Phone number: 248-557-1113
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Mailing Address
Mrs. STACEY LYNN RUNKE MPT
5580 MARTELL DR
TROY, MI 48085-3117
Phone number: 248-918-1927
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