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1598081564
JONATHAN T STACEY
BALTIMORE, MD
NPI
1598081564
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 22643)
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
-- JONATHAN T STACEY
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 410-448-6323
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Mailing Address
-- JONATHAN T STACEY
2200 KERNAN DR
BALTIMORE, MD 21207-6665
Phone number: 410-448-6323
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