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Individual
STEPHANIE JEAN BAKOSH
Active
Individual
STEPHANIE JEAN BAKOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, ANP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
209.010432
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
240748
AZ
Other
Enumeration date
07/13/2013
Last updated
06/22/2020
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