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Individual
NICOLE MARIE STABLUM
Active
Individual
NICOLE MARIE STABLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC007446L
PA
225X00000X
Occupational Therapist
Primary
OT 7161
CA
Other
Enumeration date
05/23/2008
Last updated
05/23/2008
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