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1811347677
STACY MOSBRUCKER
CORVALLIS, OR
NPI
1811347677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 8467)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- STACY MOSBRUCKER PTA
3580 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5157
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Mailing Address
-- STACY MOSBRUCKER PTA
3580 NW SAMARITAN DR
CORVALLIS, OR 97330-3766
Phone number: 541-768-5157
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