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Individual
STEPHANIE L WOLF
Active
Individual
STEPHANIE L WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
778781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
219075301
—
TX
01
—
219075302
CSHCN
TX
Enumeration date
06/23/2010
Last updated
04/22/2011
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