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Individual

STEPHEN ANDREW TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AT

Contact information

Practice address
4665 BLUE PLAINS DR SW, WASHINGTON, DC 20032-5202
(202) 645-6669
Mailing address
625 E MONROE AVE APT 210, ALEXANDRIA, VA 22301-3023
(727) 735-7123

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000007101
OH

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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