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Individual

MR. STEPHEN LOUIS DEPAOL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1100 SHILOH RD, WEST CHESTER, PA 19382-7522
(484) 266-4382
Mailing address
241 MASTERS DR, POTTSTOWN, PA 19464-3527
(484) 614-4743

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002257A
PA

Other

Enumeration date
08/22/2016
Last updated
08/22/2016
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