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1437546868
STACY RIDER
HARRISONBURG, VA
NPI
1437546868
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Former Name
STACY MATSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: VA 0126001807)
Enumeration Date
2015-04-23
Last Update Date
2015-04-23
Business Address
STACY RIDER A.T.C., L.A.T.
1205 WORDSWORTH CT
HARRISONBURG, VA 22802-4662
Phone number: 607-765-6303
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Mailing Address
STACY RIDER A.T.C., L.A.T.
1205 WORDSWORTH CT
HARRISONBURG, VA 22802-4662
Phone number: 607-765-6303
Copy
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