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Individual

MS. AMY JANE STEPHENSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MS, ATC, CSCS

Contact information

Practice address
1076 RIBAUT RD, STE. 102, BEAUFORT, SC 29902-5476
(843) 521-1970
(843) 521-0908
Mailing address
2807 WADDELL RD, APT. B14, BEAUFORT, SC 29902-6465
(843) 521-1970
(843) 521-0908

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
709
SC

Other

Enumeration date
03/27/2006
Last updated
07/08/2007
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