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Individual
MR. GARY LEE STOMAUN
Active
Individual
MR. GARY LEE STOMAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPSYCH
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
01/05/2022
Last updated
04/30/2026
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