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1972689867
STEPHANIE WAGONER WALTON
BARDSTOWN, KY
NPI
1972689867
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY KY-R2658)
Enumeration Date
2006-10-31
Last Update Date
2011-08-22
Business Address
-- STEPHANIE WAGONER WALTON OT/L
875 PENNSYLVANIA AVE SUITE A
BARDSTOWN, KY 40004-2529
Phone number: 502-349-6961
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Mailing Address
-- STEPHANIE WAGONER WALTON OT/L
1021 STONE HOUSE RIDGE RD
BARDSTOWN, KY 40004-9028
Phone number: 502-350-1151
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