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1144622879
STACEY CASE
WYLIE, TX
NPI
1144622879
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2089351)
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- STACEY CASE PTA, CLT
600 COOPER DR 130
WYLIE, TX 75098-3910
Phone number: 972-442-6525
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Mailing Address
-- STACEY CASE PTA, CLT
600 COOPER DR 130
WYLIE, TX 75098-3910
Phone number: 972-442-6525
Copy
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