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1417438003
STEPHEN WILLIAM HAVARD
WINNSBORO, TX
NPI
1417438003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2081360)
Enumeration Date
2018-08-22
Last Update Date
2018-08-22
Business Address
STEPHEN WILLIAM HAVARD PTA
406 S MAIN ST
WINNSBORO, TX 75494-3226
Phone number: 903-342-2310
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Mailing Address
STEPHEN WILLIAM HAVARD PTA
4116 CONCORD PL
TEXARKANA, TX 75503-0995
Phone number: 870-310-1616
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