Individual
WESLEY R STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AT
Contact information
Practice address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-4493
Mailing address
251 N MAIN ST, CEDARVILLE, OH 45314-8501
(937) 766-4493
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2614
OH
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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