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1528000320
STACEY R. COOPER
BONNEY LAKE, WA
NPI
1528000320
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Former Name
STACEY R. MILLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00008838)
Enumeration Date
2006-06-13
Last Update Date
2015-06-25
Business Address
-- STACEY R. COOPER P.T.
10004 204TH AVE E STE 3100
BONNEY LAKE, WA 98391-6539
Phone number: 253-863-7510
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Mailing Address
-- STACEY R. COOPER P.T.
790 REMINGTON BLVD
BOLINGBROOK, IL 60440-4909
Phone number: 630-296-2222
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