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1386711067
STACEE VICKERS
LAWRENCEVILLE, GA
NPI
1386711067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: GA 004817)
Enumeration Date
2006-11-29
Last Update Date
2007-07-09
Business Address
Mrs. STACEE VICKERS P.T.
318 W PIKE ST SUITE 104
LAWRENCEVILLE, GA 30045-3234
Phone number: 678-377-2833
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Mailing Address
Mrs. STACEE VICKERS P.T.
1092 ADAH LN
LAWRENCEVILLE, GA 30043-7225
Phone number: 678-618-9022
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