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Individual
STEPHEN A KOGER
Active
Individual
STEPHEN A KOGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102814
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8T0662
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
03/16/2007
Last updated
07/08/2007
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