STEPHEN EDWARDS

TERRE HAUTE, IN
NPI1225460207
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36002114A)
Enumeration Date2013-08-01
Last Update Date2013-08-01
Business Address
Mr. STEPHEN EDWARDS ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9619
Mailing Address
Mr. STEPHEN EDWARDS ATC
567 N 5TH ST
TERRE HAUTE, IN 47809-1903
Phone number: 812-237-9619
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