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1336495019
STACEY NICOLE THOMPSON
AMARILLO, TX
NPI
1336495019
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: TX 208557)
Enumeration Date
2012-07-31
Last Update Date
2012-07-31
Business Address
-- STACEY NICOLE THOMPSON
112 SW 8TH AVE SUITE 301-3
AMARILLO, TX 79101-2399
Phone number: 806-350-6793
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Mailing Address
-- STACEY NICOLE THOMPSON
5316 TRAIL LAKE DR
FORT WORTH, TX 76133-1931
Phone number: 817-292-8787
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