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Individual
MR. STEPHEN ASIAIN TATOM
Active
Individual
MR. STEPHEN ASIAIN TATOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNOR, RNFA
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
612883
CA
Other
Enumeration date
09/20/2013
Last updated
01/20/2015
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