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1962225706
STACEY SWAN
OAKLAND, CA
NPI
1962225706
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 306759)
Enumeration Date
2024-10-31
Last Update Date
2024-10-31
Business Address
Dr. STACEY SWAN PT, DPT
3701 BROADWAY
OAKLAND, CA 94611-5613
Phone number: 510-752-4148
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Mailing Address
Dr. STACEY SWAN PT, DPT
3524 SUTER ST
OAKLAND, CA 94619-1233
Phone number: 978-609-3983
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