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Individual

MR. JAMES M STEPHENS II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC, LAT

Contact information

Practice address
5960 DEARBORN ST, SUITE 10, MISSION, KS 66202-3342
(913) 236-0066
Mailing address
5448 SKYLINE DR, ROELAND PARK, KS 66205-1169
(580) 585-0377

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
24-00754
KS

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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