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1508971169
STEPHEN BLAINE EDWARDS
VENTURA, CA
NPI
1508971169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist Orthopedic
(Licence: CA PT 22601)
Enumeration Date
2006-08-21
Last Update Date
2022-10-01
Business Address
STEPHEN BLAINE EDWARDS PT
3525 LOMA VISTA RD STE C
VENTURA, CA 93003-3165
Phone number: 805-652-6955
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Mailing Address
STEPHEN BLAINE EDWARDS PT
5720 RALSTON ST STE 200
VENTURA, CA 93003-7844
Phone number: 805-804-4168
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