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1679986582
STEPHANIE MATHENEY
LOUISVILLE, KY
NPI
1679986582
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Former Name
STEPHANIE MCCALLUMORE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MI 5202007555)
Enumeration Date
2014-06-09
Last Update Date
2014-06-09
Business Address
-- STEPHANIE MATHENEY
303 N. HURSTBOURNE PARKWAY, SUITE 200
LOUISVILLE, KY 40222
Phone number: 502-412-5847
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Mailing Address
-- STEPHANIE MATHENEY
6352 HESSEN RD
IRA, MI 48023
Phone number:
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