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1255050811
STACY LYNN PRATER
STUART, FL
NPI
1255050811
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA20063)
Enumeration Date
2022-08-25
Last Update Date
2022-08-25
Business Address
STACY LYNN PRATER
1920 NW FEDERAL HWY
STUART, FL 34994-9586
Phone number: 850-814-1319
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Mailing Address
STACY LYNN PRATER
1920 NW FEDERAL HWY APT 1309
STUART, FL 34994-9591
Phone number: 850-814-1319
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