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1871966036
STACY NOLL
OSWEGO, NY
NPI
1871966036
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Former Name
STACY ANN HENDRICKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 8085)
Enumeration Date
2015-11-09
Last Update Date
2015-11-09
Business Address
-- STACY NOLL Physical Therapist
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
-- STACY NOLL Physical Therapist
4060 SWEET GUM LN
LIVERPOOL, NY 13090-1107
Phone number: 315-622-5397
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