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1942781638
LANE STEWART
OPELIKA, AL
NPI
1942781638
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Former Name
LANE CANNON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AL PTH1204)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
LANE STEWART
3051 FREDERICK RD
OPELIKA, AL 36801-7142
Phone number: 334-521-6644
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Mailing Address
LANE STEWART
251 JOHNSTON ST SE STE 200
DECATUR, AL 35601-2515
Phone number: 125-635-0176
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