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1821309006
STACEY MICHELLE FUNK
RANCHO PALOS VERDES, CA
NPI
1821309006
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: CA PT29687)
Enumeration Date
2010-06-23
Last Update Date
2018-05-31
Business Address
-- STACEY MICHELLE FUNK P.T.
31228 PALOS VERDES DR W
RANCHO PALOS VERDES, CA 90275-5361
Phone number: 310-544-7325
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Mailing Address
-- STACEY MICHELLE FUNK P.T.
2850 ARTESIA BLVD STE 207
REDONDO BEACH, CA 90278-3413
Phone number: 310-371-4774
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