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1376946830
JONATHAN DAVID STEPHENS
SAINT LOUIS, MO
NPI
1376946830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MO 2014024594)
Enumeration Date
2014-09-29
Last Update Date
2014-09-29
Business Address
-- JONATHAN DAVID STEPHENS PTA
1000 DES PERES RD SUITE 130
SAINT LOUIS, MO 63131-2050
Phone number: 314-775-0183
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Mailing Address
-- JONATHAN DAVID STEPHENS PTA
1000 DES PERES RD SUITE 130
SAINT LOUIS, MO 63131-2050
Phone number: 314-775-0183
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