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1013552512
KELLY STEPHENS
BATON ROUGE, LA
NPI
1013552512
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2019-11-08
Last Update Date
2019-11-08
Business Address
KELLY STEPHENS ATC
1 NORTH STADIUM DR
BATON ROUGE, LA 70803-0001
Phone number: 225-578-2050
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Mailing Address
KELLY STEPHENS ATC
11164 CAPTAINS COVE DR
SODDY DAISY, TN 37379-5764
Phone number:
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