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1962562686
JOHN THOMAS STACK
EAU CLAIRE, WI
NPI
1962562686
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WI 3557-024)
Enumeration Date
2006-12-11
Last Update Date
2007-07-08
Business Address
JOHN THOMAS STACK PT
901 W CLAIREMONT AVE
EAU CLAIRE, WI 54701-6103
Phone number: 715-839-4359
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Mailing Address
JOHN THOMAS STACK PT
716 W GRAND AVE APT 312
EAU CLAIRE, WI 54703-5433
Phone number: 715-852-0163
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