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1760750400
STACEY V WIMBERLEY
BEND, OR
NPI
1760750400
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: OR 7644)
Enumeration Date
2011-12-08
Last Update Date
2014-01-27
Business Address
-- STACEY V WIMBERLEY BS, LMT
365 NE KEARNEY AVE
BEND, OR 97701-4573
Phone number: 541-948-4823
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Mailing Address
-- STACEY V WIMBERLEY BS, LMT
3000 NE YELLOW RIBBON DR
BEND, OR 97701-7522
Phone number: 541-948-4823
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