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1184118713
MICHAEL STANGROOM
FORT CAMPBELL, KY
NPI
1184118713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305211989)
Enumeration Date
2018-06-18
Last Update Date
2024-10-07
Business Address
MICHAEL STANGROOM DPT
BLANCHFIELD ARMY COMMUNITY HOSPITAL
FORT CAMPBELL, KY 42223
Phone number: 270-798-8953
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Mailing Address
MICHAEL STANGROOM DPT
1414 CRESTWAY CT
FALLSTON, MD 21047-1600
Phone number:
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