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1063103018
JEFFERY LYNN STEPHENS
ROSEBURG, OR
NPI
1063103018
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist Optician
Enumeration Date
2023-05-18
Last Update Date
2023-05-18
Business Address
JEFFERY LYNN STEPHENS OPTICIAN
2125 NW STEWART PKWY
ROSEBURG, OR 97471-1693
Phone number: 541-957-8552
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Mailing Address
JEFFERY LYNN STEPHENS OPTICIAN
2125 NW STEWART PKWY
ROSEBURG, OR 97471-1693
Phone number: 541-957-8552
Copy
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