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1619038007
STACEY MARIE SMITH
SANTA MONICA, CA
NPI
1619038007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA PT 22447)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- STACEY MARIE SMITH M.P.T
1502 MONTANA AVE STE 207
SANTA MONICA, CA 90403-1875
Phone number: 310-458-0898
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Mailing Address
-- STACEY MARIE SMITH M.P.T
1502 MONTANA AVE STE 207
SANTA MONICA, CA 90403-1875
Phone number: 310-458-0898
Copy
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