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Individual
MR. STEPHEN LAVALLEY
Active
Individual
MR. STEPHEN LAVALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
89526
WV
363LF0000X
Family Nurse Practitioner
Primary
0035841
OH
363LF0000X
Family Nurse Practitioner
118685
WV
Other
Enumeration date
03/05/2024
Last updated
04/29/2024
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