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1982072039
LACEY ANNE STALDER
JBER, AK
NPI
1982072039
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AK 103167)
Enumeration Date
2015-09-07
Last Update Date
2015-09-07
Business Address
-- LACEY ANNE STALDER
5993 COHO ST UNIT C
JBER, AK 99506-3605
Phone number: 231-557-1240
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Mailing Address
-- LACEY ANNE STALDER
5993 COHO ST UNIT C
JBER, AK 99506-3605
Phone number:
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