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1326577461
STACY LOUSIE KOUSHEL
LINWOOD, NJ
NPI
1326577461
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00316800)
Enumeration Date
2017-06-11
Last Update Date
2017-06-11
Business Address
STACY LOUSIE KOUSHEL PTA
201 NEW RD
LINWOOD, NJ 08221-1201
Phone number: 609-927-6131
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Mailing Address
STACY LOUSIE KOUSHEL PTA
4030 ALEXANDER DR
MAYS LANDING, NJ 08330-3002
Phone number: 609-226-4293
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