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1376745323
STACY MATTERN
BELLEVILLE, IL
NPI
1376745323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070005876)
Enumeration Date
2007-06-01
Last Update Date
2012-11-15
Business Address
-- STACY MATTERN PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
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Mailing Address
-- STACY MATTERN PT
2810 FRANK SCOTT PKWY W SUITE 824
BELLEVILLE, IL 62223-5007
Phone number: 618-234-9705
Copy
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