STACEY LYNN WILSON

LAFAYETTE, IN
NPI1689100992
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06003530A)
Enumeration Date2017-05-05
Last Update Date2017-05-05
Business Address
-- STACEY LYNN WILSON
3022 YORKTOWN CT
LAFAYETTE, IN 47909-3212
Phone number: 812-899-2700
Mailing Address
-- STACEY LYNN WILSON
3022 YORKTOWN CT
LAFAYETTE, IN 47909-3212
Phone number: 812-899-2700
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