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1598312514
STACEY MACKINTOSH
EASTON, MD
NPI
1598312514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MD 08780)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
STACEY MACKINTOSH
12 MAGNOLIA ST
EASTON, MD 21601-3657
Phone number: 410-763-6823
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Mailing Address
STACEY MACKINTOSH
2103 LAURANCE CT
CROFTON, MD 21114-2129
Phone number: 410-320-7948
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