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Individual
STEPHEN PEDERSEN
Active
Individual
STEPHEN PEDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIGH SCHOOL DIPLOMA
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
NULL
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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