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1851951743
STACEY ERIN DEVALL
NORFOLK, NE
NPI
1851951743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NE 685)
Enumeration Date
2019-06-13
Last Update Date
2019-06-13
Business Address
STACEY ERIN DEVALL PTA
1203 N 13TH ST
NORFOLK, NE 68701-2609
Phone number: 402-379-0632
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Mailing Address
STACEY ERIN DEVALL PTA
2820 PINNACLE DR
NORFOLK, NE 68701-6501
Phone number:
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