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1801452248
JAMES STEPHENSON
LEWISTON, ID
NPI
1801452248
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: ID PTA-6295)
Enumeration Date
2019-05-10
Last Update Date
2019-05-10
Business Address
JAMES STEPHENSON PTA
1014 BURRELL AVE
LEWISTON, ID 83501-5589
Phone number: 208-743-4558
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Mailing Address
JAMES STEPHENSON PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 208-871-8312
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