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1750548012
STACEY CARROLL BURTON
SOMERSET, KY
NPI
1750548012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2008-05-22
Last Update Date
2019-01-16
Business Address
Mrs. STACEY CARROLL BURTON PLE
801 HAIL KNOB RD
SOMERSET, KY 42503-3419
Phone number: 606-219-0832
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Mailing Address
Mrs. STACEY CARROLL BURTON PLE
801 HAIL KNOB RD
SOMERSET, KY 42503-3419
Phone number: 606-219-0832
Copy
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