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Individual
STEPHANIE LEE SACCO
Active
Individual
STEPHANIE LEE SACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052437
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1958667
HIGHMARK BLUE SHIELD
—
01
—
443766
HEALTHAMERICA/HEALTHASSUR
—
01
—
50059471
KEYSTONE HEALTH CENTRAL
—
Enumeration date
06/03/2006
Last updated
09/25/2008
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