STACEY YEARIAN

ORANGE PARK, FL
NPI1790879161
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA20062)
Enumeration Date2006-10-03
Last Update Date2007-07-08
Business Address
STACEY YEARIAN PTA
540 KINGSLEY AVE
ORANGE PARK, FL 32073-4847
Phone number: 904-264-2156
Mailing Address
STACEY YEARIAN PTA
7704 FAWN LAKE DR S
JACKSONVILLE, FL 32256-3692
Phone number: 904-288-9577
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