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Individual
STEPHANIE CALLAHAN
Active
Individual
STEPHANIE CALLAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
220721
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NUR-LPN-LIC-220721
LISENCE
MT
Enumeration date
03/27/2025
Last updated
03/27/2025
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