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1689014219
KELLY A STEPHENS
FREDERICKSBURG, VA
NPI
1689014219
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306603417)
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
Miss KELLY A STEPHENS PTA
6106 HEALTH CENTER LN
FREDERICKSBURG, VA 22407-6687
Phone number: 540-785-1120
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Mailing Address
Miss KELLY A STEPHENS PTA
6106 HEALTH CENTER LN
FREDERICKSBURG, VA 22407-6687
Phone number: 540-785-1120
Copy
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