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1538582762
STEPHANIE WYDICK
KALAMAZOO, MI
NPI
1538582762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502002920)
Enumeration Date
2014-01-23
Last Update Date
2014-01-23
Business Address
-- STEPHANIE WYDICK PTA
2575 N DRAKE RD
KALAMAZOO, MI 49006-1358
Phone number: 269-342-0206
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Mailing Address
-- STEPHANIE WYDICK PTA
2575 N DRAKE RD
KALAMAZOO, MI 49006-1358
Phone number:
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