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1326384959
STACY MARIE EARL
PUYALLUP, WA
NPI
1326384959
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WA OC60313173)
Enumeration Date
2012-12-31
Last Update Date
2012-12-31
Business Address
-- STACY MARIE EARL COTA/L
516 23RD AVE SE
PUYALLUP, WA 98372-4659
Phone number: 253-845-6631
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Mailing Address
-- STACY MARIE EARL COTA/L
7902 192ND AVE E
BONNEY LAKE, WA 98391-8554
Phone number: 253-720-2618
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