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1811279490
STACEY LYLES PENDRY
ATHENS, GA
NPI
1811279490
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Former Name
STACEY NICOLE LYLES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: NC 9700)
Enumeration Date
2011-09-09
Last Update Date
2013-01-20
Business Address
MRS. STACEY LYLES PENDRY
263 OCONEE RIVER CIR
ATHENS, GA 30605-4238
Phone number: 336-870-1653
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Mailing Address
MRS. STACEY LYLES PENDRY
263 OCONEE RIVER CIR
ATHENS, GA 30605-4238
Phone number: 336-870-1653
Copy
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