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1225460207
STEPHEN EDWARDS
TERRE HAUTE, IN
NPI
1225460207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IN 36002114A)
Enumeration Date
2013-08-01
Last Update Date
2013-08-01
Business Address
MR. STEPHEN EDWARDS ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9619
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Mailing Address
MR. STEPHEN EDWARDS ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9619
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