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1821747932
STAR BARRY STEVENSON
SANTA ROSA, CA
NPI
1821747932
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 25565)
Enumeration Date
2022-03-23
Last Update Date
2022-03-23
Business Address
Mr. STAR BARRY STEVENSON MSPT
34 MARK WEST SPRINGS RD
SANTA ROSA, CA 95403-1766
Phone number: 707-546-1922
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Mailing Address
Mr. STAR BARRY STEVENSON MSPT
4909 STONEHEDGE DR
SANTA ROSA, CA 95405-7443
Phone number: 707-483-5876
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