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1629612551
STEPHEN RIDGELL
LAS VEGAS, NV
NPI
1629612551
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2019-11-04
Last Update Date
2019-11-04
Business Address
STEPHEN RIDGELL
4760 S PECOS RD STE 203-1
LAS VEGAS, NV 89121-6038
Phone number: 424-232-2177
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Mailing Address
STEPHEN RIDGELL
300 W WILLETTA ST APT 5
PHOENIX, AZ 85003-1248
Phone number: 424-232-2177
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