STACY BANES

BROOKHAVEN, MS
NPI1548477318
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT0367)
Enumeration Date2007-05-17
Last Update Date2009-12-29
Business Address
-- STACY BANES
101 MILLS ST
BROOKHAVEN, MS 39601-2521
Phone number: 601-823-5567
Mailing Address
-- STACY BANES
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-279-6390
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