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1942782206
STACEY GERSBACH
HERMISTON, OR
NPI
1942782206
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: OR 9538)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
STACEY GERSBACH
600 NW 11TH ST STE E31
HERMISTON, OR 97838-8604
Phone number: 541-667-3657
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Mailing Address
STACEY GERSBACH
80011 AGNEW RD
HERMISTON, OR 97838-7138
Phone number:
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