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1902040504
STACEY L. EWART
LOS ANGELES, CA
NPI
1902040504
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- STACEY L. EWART
3741 STOCKER ST STE 207
LOS ANGELES, CA 90008-5148
Phone number: 323-596-2480
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Mailing Address
-- STACEY L. EWART
3741 STOCKER ST STE 207
LOS ANGELES, CA 90008-5148
Phone number: 323-596-2480
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