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Individual
STANLEY JOSEPH
Active
Individual
STANLEY JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN5220718
FL
363A00000X
Physician Assistant
Primary
PA59631
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2020
Last updated
08/10/2023
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