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Individual
LAURA STEMBRIDGE OLIVER
Active
Individual
LAURA STEMBRIDGE OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPA, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006273
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114423D
—
GA
05
—
003114423E
—
GA
Enumeration date
09/13/2011
Last updated
04/27/2015
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