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1710141106
STACY BEARDEN
MCCOMB, MS
NPI
1710141106
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: LA A3978)
Enumeration Date
2008-07-15
Last Update Date
2008-07-15
Business Address
-- STACY BEARDEN
206 MARYLAND AVE
MCCOMB, MS 39648-3926
Phone number: 601-250-4815
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Mailing Address
-- STACY BEARDEN
886 NEW PROSPECT RD
DUBACH, LA 71235-3117
Phone number:
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