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1730853417
CASEY GAIL STALLARD
FREDERICKSBURG, VA
NPI
1730853417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: VA 0131002086)
Enumeration Date
2021-08-05
Last Update Date
2021-08-05
Business Address
Ms. CASEY GAIL STALLARD COTA/L
11 DAIRY LN
FREDERICKSBURG, VA 22405-2663
Phone number: 540-371-9414
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Mailing Address
Ms. CASEY GAIL STALLARD COTA/L
43 LITTLE WHIM RD
FREDERICKSBURG, VA 22405-1892
Phone number: 703-731-5462
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