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1215051115
STEPHEN LAKE STEPHENSON
AUGUSTA, GA
NPI
1215051115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: GA 001603)
Enumeration Date
2007-03-17
Last Update Date
2007-07-09
Business Address
DR. STEPHEN LAKE STEPHENSON D.C.
1250 MERRY ST
AUGUSTA, GA 30904-3845
Phone number: 706-738-6102
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Mailing Address
DR. STEPHEN LAKE STEPHENSON D.C.
1250 MERRY ST
AUGUSTA, GA 30904-3845
Phone number: 706-738-6102
Copy
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