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1679778344
FAYE BOLDWYN-STEPHENS
MOUNT VERNON, IL
NPI
1679778344
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: IL 146-004370)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- FAYE BOLDWYN-STEPHENS
208 ZACHERY DR
MOUNT VERNON, IL 62864-6712
Phone number: 618-204-5497
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Mailing Address
-- FAYE BOLDWYN-STEPHENS
11123 E IDLEWOOD RD
MOUNT VERNON, IL 62864-7678
Phone number: 618-244-6208
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