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Individual

CRYSTAL LYNN STEPHENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.C.

Contact information

Practice address
1915 VALLEY VIEW BLVD REAR, ALTOONA, PA 16602-6527
(814) 941-1400
(814) 941-0862
Mailing address
1915 VALLEY VIEW BLVD REAR, ALTOONA, PA 16602-6527
(814) 941-1400
(814) 941-0862

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009736
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001928832
HIGHMARK
PA
05
101876402
PA
Enumeration date
01/09/2007
Last updated
08/15/2008
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