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1275119539
STACEY LONSER
DEARBORN, MI
NPI
1275119539
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000038)
Enumeration Date
2021-03-18
Last Update Date
2021-03-23
Business Address
STACEY LONSER
5500 AUTO CLUB DR
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
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Mailing Address
STACEY LONSER
5500 AUTO CLUB DR
DEARBORN, MI 48126-2779
Phone number: 313-982-8266
Copy
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