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Individual

ANDREW JAY STEPHENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
474 W 200 N, ST GEORGE, UT 84770-4505
(435) 634-5600
Mailing address
290 S 1200 E APT 32, ST GEORGE, UT 84790-5579
(208) 569-4908

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
177183626
UT

Other

Enumeration date
05/22/2008
Last updated
05/22/2008
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Product
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  • EDI platform