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1700913860
STACIE BERRY
JONESBORO, AR
NPI
1700913860
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AR PT 1876)
Enumeration Date
2007-02-27
Last Update Date
2007-07-08
Business Address
-- STACIE BERRY PT
505 E MATTHEWS AVE STE 205
JONESBORO, AR 72401-3101
Phone number: 870-932-9567
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Mailing Address
-- STACIE BERRY PT
502 MOCKINGBIRD LN
JONESBORO, AR 72401-7155
Phone number:
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