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Organization
STG INTERNATIONAL
Active
Organization
STG INTERNATIONAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEANNA LYNN KUDULIS NP (NURSE PRACTIONER)
(661) 729-8655
Entity
Organization
Contact information
Practice address
340 E AVENUE I, LANCASTER, CA 93535-1900
(661) 729-8655
(661) 729-8656
Mailing address
340 E AVENUE I, LANCASTER, CA 93535-1900
(661) 729-8655
(661) 729-8656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
15849
CA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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