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1760688097
STEPHANIE LAINE BEAUREGARD
FT. BELVOIR, VA
NPI
1760688097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251N0400X Physical Therapist, Neurology
(Licence: VA 2305204251)
Enumeration Date
2007-06-24
Last Update Date
2015-04-21
Business Address
-- STEPHANIE LAINE BEAUREGARD P.T.
9300 DEWITT LOOP
FT. BELVOIR, VA 22060-3231
Phone number: 703-806-4244
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Mailing Address
-- STEPHANIE LAINE BEAUREGARD P.T.
10533 GREENE DR
LORTON, VA 22079-3540
Phone number: 832-385-4304
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