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1861150658
STACEY PICHE
GRAND FORKS, ND
NPI
1861150658
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ND 1299A)
Enumeration Date
2021-11-30
Last Update Date
2021-11-30
Business Address
STACEY PICHE PTA
2400 47TH AVE S
GRAND FORKS, ND 58201-3405
Phone number: 701-746-2205
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Mailing Address
STACEY PICHE PTA
PO BOX 6000
GRAND FORKS, ND 58206-6000
Phone number: 701-746-2205
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