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Individual

MR. QUINCY S. STEPHENSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
728 S MAIN ST, MADISONVILLE, KY 42431-3069
(270) 821-8500
(270) 821-8396
Mailing address
3950 DALTON RD, PROVIDENCE, KY 42450-9476
(270) 249-1146

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012295
KY

Other

Enumeration date
02/06/2007
Last updated
07/08/2007
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