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1912986787
STACY LYNN BEACH
ROARING SPRING, PA
NPI
1912986787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA RT003520)
Enumeration Date
2006-01-11
Last Update Date
2007-07-08
Business Address
-- STACY LYNN BEACH A.T.C
506 RT. 36
ROARING SPRING, PA 16673
Phone number: 814-224-1371
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Mailing Address
-- STACY LYNN BEACH A.T.C
930 CHESTNUT ST
ROARING SPRING, PA 16673-2012
Phone number: 814-224-4634
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