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1417576521
STACEY LEATH
POMONA, CA
NPI
1417576521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 22906)
Enumeration Date
2020-04-09
Last Update Date
2020-04-09
Business Address
STACEY LEATH
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number: 909-865-9810
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Mailing Address
STACEY LEATH
1798 N GAREY AVE
POMONA, CA 91767-2918
Phone number:
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