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1932439312
STACEY VAN DE MARK
BELLEVUE, WA
NPI
1932439312
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60093193)
Enumeration Date
2010-01-06
Last Update Date
2010-01-06
Business Address
-- STACEY VAN DE MARK
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
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Mailing Address
-- STACEY VAN DE MARK
4455 148TH AVE NE
BELLEVUE, WA 98007-3120
Phone number: 425-861-6255
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