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Stevie Jack Stevenson Jr.

Durable Medical Equipment & Medical Supplies in Stillwater, OK. Individual provider (NPI-1).

NPI number1669618286
StatusActive
Last updated in NPPESJan 2, 2009

Details

NPI
1669618286
Entity type
Individual (NPI-1)
Name
Mr. Stevie Jack Stevenson Jr.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 2, 2009
Last updated
Jan 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332B00000X Durable Medical Equipment & Medical Supplies––Yes
246W00000X Technician, Cardiology––

Practice location

1322 S Perkins Rd
Stillwater, OK 74074-5036

Phone 405-372-7707

Mailing address

1322 S Perkins Rd
Stillwater, OK 74074-5036

Phone 405-372-7707

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