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Individual
STACY R TINGLEY
Active
Individual
STACY R TINGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056008804
IL
Other
Enumeration date
07/04/2006
Last updated
03/11/2019
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