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1508262734
MARY JEAN STACK
GREAT FALLS, VA
NPI
1508262734
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305212350)
Enumeration Date
2014-11-17
Last Update Date
2022-07-21
Business Address
Dr. MARY JEAN STACK DPT
766 WALKER RD STE B
GREAT FALLS, VA 22066-2650
Phone number: 202-349-1030
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Mailing Address
Dr. MARY JEAN STACK DPT
766 WALKER RD STE B
GREAT FALLS, VA 22066-2650
Phone number: 202-349-1030
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