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Individual
MR. DOUGLAS JAMES STALKER
Active
Individual
MR. DOUGLAS JAMES STALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.N.
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
353104-1
NY
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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