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1780905265
STEPHANIE L MBOUCK
ERIE, PA
NPI
1780905265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2010-06-18
Last Update Date
2019-01-24
Business Address
STEPHANIE L MBOUCK OTR/L
1645 W 8TH ST
ERIE, PA 16505
Phone number: 814-875-8833
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Mailing Address
STEPHANIE L MBOUCK OTR/L
1645 W 8TH ST
ERIE, PA 16505-5007
Phone number: 814-875-8833
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