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1730698523
STEPHANYE RENEE GIVENS
EVANSVILLE, IN
NPI
1730698523
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Former Name
STEPHANYE RENEE SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
Enumeration Date
2017-09-25
Last Update Date
2017-09-25
Business Address
STEPHANYE RENEE GIVENS PTA
415 CROSSLAKE DR STE B
EVANSVILLE, IN 47715-8263
Phone number: 812-476-0409
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Mailing Address
STEPHANYE RENEE GIVENS PTA
PO BOX 5629
EVANSVILLE, IN 47716-5629
Phone number: 812-476-0409
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