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1275852972
STACY ANNE BALL-DERNOSEK
BRIDGEVILLE, PA
NPI
1275852972
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE008478)
Enumeration Date
2010-05-20
Last Update Date
2010-05-20
Business Address
Mr. STACY ANNE BALL-DERNOSEK
3590 WASHINGTON PIKE
BRIDGEVILLE, PA 15017-1047
Phone number: 412-257-2474
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Mailing Address
Mr. STACY ANNE BALL-DERNOSEK
856 WHEATLAND CIR
BRIDGEVILLE, PA 15017-1123
Phone number: 724-207-0052
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