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1902458649
STEPHANIE SPROUSE
WELLSBORO, PA
NPI
1902458649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP005827)
Enumeration Date
2019-07-12
Last Update Date
2019-07-12
Business Address
STEPHANIE SPROUSE
36 CENTRAL AVE
WELLSBORO, PA 16901-1840
Phone number: 570-723-0120
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Mailing Address
STEPHANIE SPROUSE
36 CENTRAL AVE
WELLSBORO, PA 16901
Phone number: 570-723-0120
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