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Individual
THOMAS R STEBBINS
Active
Individual
THOMAS R STEBBINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03246501
CAPITAL BLUE CROSS
PA
Enumeration date
03/30/2006
Last updated
03/04/2008
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