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1275249369
STACEY LYN GILMORE
AUSTIN, TX
NPI
1275249369
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1162120)
Enumeration Date
2023-01-23
Last Update Date
2023-01-23
Business Address
STACEY LYN GILMORE
6412 FIVE ACRE WOOD ST
AUSTIN, TX 78746-7160
Phone number: 512-627-9038
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Mailing Address
STACEY LYN GILMORE
6412 FIVE ACRE WOOD ST
AUSTIN, TX 78746-7160
Phone number: 512-627-9038
Copy
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