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Individual
MRS. MARJORIE MARIE STIVEN
Active
Individual
MRS. MARJORIE MARIE STIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2994111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BBR1CMSA
AETNA US HEALTHCARE
NY
Enumeration date
08/13/2010
Last updated
08/13/2010
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