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1497203384
STEVEN STATHAS
BUCKEYE, AZ
NPI
1497203384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: AZ 6339)
Enumeration Date
2016-09-20
Last Update Date
2016-09-20
Business Address
STEVEN STATHAS
25524 W WILLIAMS ST
BUCKEYE, AZ 85326-2983
Phone number: 815-277-6020
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Mailing Address
STEVEN STATHAS
25524 W WILLIAMS ST
BUCKEYE, AZ 85326-2983
Phone number: 815-277-6020
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