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Individual
ALIX R STALMAKOV
Active
Individual
ALIX R STALMAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10957
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G175225
IA
Other
Enumeration date
07/24/2023
Last updated
05/07/2025
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