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1386956241
STACY WONG
GRAND ISLAND, NE
NPI
1386956241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NE 2894)
Enumeration Date
2010-07-08
Last Update Date
2012-02-09
Business Address
-- STACY WONG
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-382-0344
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Mailing Address
-- STACY WONG
3004 W FAIDLEY AVE
GRAND ISLAND, NE 68803-4109
Phone number: 308-382-0344
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