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Individual
MRS. VICTORIA RUPPENTHAL STACHURA
Active
Individual
MRS. VICTORIA RUPPENTHAL STACHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LP
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP 0855
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-81168
MEDICA
MN
01
—
6153777
UBH
MN
01
—
70931
UHC
MN
01
—
ON146ST
BCBS
MN
Enumeration date
08/15/2006
Last updated
10/08/2007
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