Individual
DR. ANNIE PAMELA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C,
Contact information
Practice address
11673 MAIN ST., ROSCOE, IL 61073
(815) 623-7694
(815) 623-9689
Mailing address
11673 MAIN ST., ROSCOE, IL 61073
(815) 623-7694
(815) 623-9689
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038011842
IL
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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