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1780222190
JOSHUA CARL STEPHENSON
WEISER, ID
NPI
1780222190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-12-16
Last Update Date
2019-12-16
Business Address
JOSHUA CARL STEPHENSON
30 MAPLE DR
WEISER, ID 83672-1566
Phone number: 208-405-3763
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Mailing Address
JOSHUA CARL STEPHENSON
616 W COMMERCIAL ST
WEISER, ID 83672-1631
Phone number: 208-405-3763
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