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1659020030
ISAAC HENRY STEPHENS
LEBANON, TN
NPI
1659020030
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
ISAAC HENRY STEPHENS
1 CUMBERLAND SQ
LEBANON, TN 37087-3408
Phone number: 615-547-1246
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Mailing Address
ISAAC HENRY STEPHENS
201 GENTRY LN
SOMERSET, KY 42501-1932
Phone number:
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