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1881805521
STACIE LONNETTE THOMPSON
REXBURG, ID
NPI
1881805521
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ID PT 1630)
Enumeration Date
2007-05-24
Last Update Date
2016-10-11
Business Address
-- STACIE LONNETTE THOMPSON MPT
36 PROFESSIONAL PLZ
REXBURG, ID 83440-2049
Phone number: 208-359-9570
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Mailing Address
-- STACIE LONNETTE THOMPSON MPT
325 HANSON ST
WINNEMUCCA, NV 89445-3607
Phone number: 775-625-2222
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