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1295364941
STACEY MAIN
DANVILLE, PA
NPI
1295364941
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-05
Last Update Date
2020-04-05
Business Address
STACEY MAIN
100 N ACADEMY AVE
DANVILLE, PA 17822-9800
Phone number: 570-271-6211
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Mailing Address
STACEY MAIN
4896 EAST AVE
MC KEAN, PA 16426-1442
Phone number: 386-956-1455
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