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Individual
NICOLE STAMER
Active
Individual
NICOLE STAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
088103
IA
363AM0700X
Medical Physician Assistant
088103
IA
363AS0400X
Surgical Physician Assistant
088103
IA
Other
Enumeration date
07/13/2017
Last updated
01/12/2023
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