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1780054189
STEPHANIE LYNN STEPHENS
CHARLOTTESVILLE, VA
NPI
1780054189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126003190)
Enumeration Date
2015-09-29
Last Update Date
2022-09-08
Business Address
Mrs. STEPHANIE LYNN STEPHENS LAT, ATC
550 BRANDON AVE ROOM 331
CHARLOTTESVILLE, VA 22903
Phone number: 815-451-6149
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Mailing Address
Mrs. STEPHANIE LYNN STEPHENS LAT, ATC
607 MEADOW LN
HARVARD, IL 60033-8359
Phone number: 815-451-6149
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