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1417268947
STACEY C LEE
RIDGELAND, MS
NPI
1417268947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT4728)
Enumeration Date
2010-06-30
Last Update Date
2010-06-30
Business Address
-- STACEY C LEE DPT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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Mailing Address
-- STACEY C LEE DPT
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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