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1194485045
HEATHER RENAE STARK
PAWNEE CITY, NE
NPI
1194485045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 984)
Enumeration Date
2021-12-20
Last Update Date
2021-12-20
Business Address
HEATHER RENAE STARK PTA
600 I ST
PAWNEE CITY, NE 68420-3001
Phone number: 402-852-2231
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Mailing Address
HEATHER RENAE STARK PTA
71204 618TH AVE
BURCHARD, NE 68323-4025
Phone number:
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