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Individual

STEPHEN PAUL DEATON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPO

Contact information

Practice address
4030 TATES CREEK RD APT 4907, LEXINGTON, KY 40517-3185
(859) 440-7828
Mailing address
4030 TATES CREEK RD APT 4907, LEXINGTON, KY 40517-3185
(859) 440-7828

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
135799
KY

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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