STEPHEN SOUTHARD

CLEARWATER, FL
NPI1558813436
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2016-10-26
Last Update Date2016-10-26
Business Address
Mr. STEPHEN SOUTHARD C.M.A., C.C.H.T.
2448 ENTERPRISE RD APT 3
CLEARWATER, FL 33763-1797
Phone number: 813-505-9968
Mailing Address
Mr. STEPHEN SOUTHARD C.M.A., C.C.H.T.
2448 ENTERPRISE RD APT 3
CLEARWATER, FL 33763-1797
Phone number: 813-505-9968
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