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1215276555
STACEY MARIE DAVIS
COEUR D ALENE, ID
NPI
1215276555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60322487)
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
Mrs. STACEY MARIE DAVIS DPT
2170 W IRONWOOD CENTER DR B
COEUR D ALENE, ID 83814-2606
Phone number: 208-667-1988
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Mailing Address
Mrs. STACEY MARIE DAVIS DPT
2170 W IRONWOOD CENTER DR
COEUR D ALENE, ID 83814-2606
Phone number: 208-667-1988
Copy
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