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1164774774
STACEY HALLARCES NAKAYAMA
COSTA MESA, CA
NPI
1164774774
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 39125)
Enumeration Date
2012-10-05
Last Update Date
2017-05-11
Business Address
-- STACEY HALLARCES NAKAYAMA DPT
121 E 18TH ST
COSTA MESA, CA 92627-3034
Phone number: 213-792-2616
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Mailing Address
-- STACEY HALLARCES NAKAYAMA DPT
2220 RALEIGH AVE
COSTA MESA, CA 92627-2909
Phone number: 408-781-2511
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