Individual
MR. STEPHEN THOMAS BEAUDOIN
Active
Individual
MR. STEPHEN THOMAS BEAUDOIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CO
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
CO2978
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
CO2978
—
Other
Enumeration date
03/11/2009
Last updated
03/11/2009
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