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1245561588
STACEY LYNN OMEARA
BATAVIA, NY
NPI
1245561588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA21923)
Enumeration Date
2010-01-27
Last Update Date
2010-01-27
Business Address
-- STACEY LYNN OMEARA PTA
4065 W MAIN ST
BATAVIA, NY 14020-1215
Phone number: 303-408-2615
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Mailing Address
-- STACEY LYNN OMEARA PTA
PO BOX 15444
SARASOTA, FL 34277-1444
Phone number: 303-408-2615
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