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1235401167
STACIA WYNNE
BUTTE, MT
NPI
1235401167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 2456)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
-- STACIA WYNNE
3131 AMHERST AVE
BUTTE, MT 59701-4653
Phone number: 406-494-7035
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Mailing Address
-- STACIA WYNNE
3131 AMHERST AVE
BUTTE, MT 59701-4653
Phone number:
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