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1861640385
STACY NELSON
RAPID CITY, SD
NPI
1861640385
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SD 0595)
Enumeration Date
2008-09-09
Last Update Date
2008-09-09
Business Address
-- STACY NELSON OTR/L
2428 CANYON LAKE DR
RAPID CITY, SD 57702-2402
Phone number: 605-415-1750
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Mailing Address
-- STACY NELSON OTR/L
2428 CANYON LAKE DR
RAPID CITY, SD 57702-2402
Phone number: 605-415-1750
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