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1942639737
STACEY INGRAM
PALM HARBOR, FL
NPI
1942639737
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT20309)
Enumeration Date
2013-11-02
Last Update Date
2015-11-25
Business Address
-- STACEY INGRAM
34990 US HWY 19 NORTH
PALM HARBOR, FL 34684
Phone number: 727-210-0760
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Mailing Address
-- STACEY INGRAM
34990 US HIGHWAY 19 N
PALM HARBOR, FL 34684-1920
Phone number: 727-210-0760
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