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Individual
STEPHENIE M STARK
Active
Individual
STEPHENIE M STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/20/2009
Last updated
02/02/2017
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