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1558849513
STEPHEN HEACOCK
COLORADO SPRINGS, CO
NPI
1558849513
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CO SLP.0003284)
Enumeration Date
2018-08-01
Last Update Date
2023-02-20
Business Address
STEPHEN HEACOCK
6985 CABRIOLET DR
COLORADO SPRINGS, CO 80923-8797
Phone number: 719-660-3579
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Mailing Address
STEPHEN HEACOCK
6985 CABRIOLET DR
COLORADO SPRINGS, CO 80923-8797
Phone number: 719-660-3579
Copy
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