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1952592479
STACIE R MICELI
NAPERVILLE, IL
NPI
1952592479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: IL 070.011318)
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
Mrs. STACIE R MICELI MPT
1136 N MILL ST
NAPERVILLE, IL 60563-2519
Phone number: 630-355-3300
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Mailing Address
Mrs. STACIE R MICELI MPT
1069 HOMESTEAD DR
YORKVILLE, IL 60560-1835
Phone number: 630-553-5845
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