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Individual
DR. STANTON HENRY JOE
Active
Individual
DR. STANTON HENRY JOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G22870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G228720
—
CA
05
—
00G228721
—
CA
Enumeration date
12/19/2006
Last updated
11/08/2007
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