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1497780225
STACEY B GILLIS
COSTA MESA, CA
NPI
1497780225
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: CA DC28079)
Enumeration Date
2006-07-11
Last Update Date
2008-08-11
Business Address
Dr. STACEY B GILLIS D.C.
2200 HARBOR BLVD STE B160
COSTA MESA, CA 92627-5871
Phone number: 949-515-5170
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Mailing Address
Dr. STACEY B GILLIS D.C.
2200 HARBOR BLVD STE B160
COSTA MESA, CA 92627-5871
Phone number: 949-515-5170
Copy
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