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1205113594
STACI DIANE IRWIN
EDINBORO, PA
NPI
1205113594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: PA MSG001363)
Enumeration Date
2011-11-15
Last Update Date
2011-11-15
Business Address
Mrs. STACI DIANE IRWIN L.M.T
12650 EDINBORO RD
EDINBORO, PA 16412-6016
Phone number: 814-734-4541
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Mailing Address
Mrs. STACI DIANE IRWIN L.M.T
12650 EDINBORO RD
EDINBORO, PA 16412-6016
Phone number: 814-734-4541
Copy
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