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1740420843
STACEY SOURWINE
WEXFORD, PA
NPI
1740420843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: PA OC008758)
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
-- STACEY SOURWINE
9850 OLD PERRY HWY
WEXFORD, PA 15090-9311
Phone number: 412-366-7900
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Mailing Address
-- STACEY SOURWINE
9850 OLD PERRY HWY
WEXFORD, PA 15090-9311
Phone number:
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